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General NPI Number Information
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NPI Number | 1679730410
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Entity Type | Organization
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Legal Business Name | DOYLE OPTICIANS LTD.
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 565 CHESTNUT ST
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City | WINNETKA
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State | IL
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Zip | 60093-2201
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Country | US
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Telephone | 847-446-6264
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Fax |
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Provider Business Mailing Address
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Address Line | 565 CHESTNUT ST
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City | WINNETKA
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State | IL
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Zip | 60093-2201
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Country | US
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Telephone | 847-446-6264
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Fax |
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Authorized Official
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Title or Position | MGR
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Name | MR. SHAWN M SCOTT
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Credential | ABOC
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Telephone | 847-446-6264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1119-6300
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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