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General NPI Number Information
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NPI Number | 1710309422
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Entity Type | Organization
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Legal Business Name | ANIMAL EYE CARE
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 197 DEFENSE HIGHWAY SUITE 101
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City | ANNAPOLIS
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State | MD
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Zip | 21401
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Country | US
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Telephone | 410-422-4260
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Fax | 410-224-4934
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Provider Business Mailing Address
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Address Line | 197 DEFENSE HWY SUITE 101
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7074
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Country | US
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Telephone | 410-224-4260
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Fax | 410-224-4946
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Authorized Official
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Title or Position | VETERINARY OPHTHALMOLOGY
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Name | DR. JENNIFER ELIZABETH LU
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Credential | DVM
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Telephone | 405-706-6438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | 6975
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License Number State | MD
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