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General NPI Number Information
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NPI Number | 1700831633
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Entity Type | Organization
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Legal Business Name | FAMILY EYECARE ASSOCIATES, O.D.P.C
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 05/29/2008
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Provider Practice Location Address
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Address Line | 2000 EMPIRE BLVD SUITE 110
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City | WEBSTER
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State | NY
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Zip | 14580-1957
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Country | US
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Telephone | 585-671-0860
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 EMPIRE BLVD SUITE 110
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City | WEBSTER
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State | NY
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Zip | 14580-1957
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Country | US
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Telephone | 585-671-0860
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | JOANN W FARUGIA
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Credential |
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Telephone | 585-671-0860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV004399-1
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License Number State | NY
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