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General NPI Number Information
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NPI Number | 1740748490
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Entity Type | Organization
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Legal Business Name | LIGGINS EYE CONSULTANTS, INC
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 03/12/2019
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Provider Practice Location Address
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Address Line | 8600 SNOWDEN RIVER PKWY STE 309
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City | COLUMBIA
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State | MD
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Zip | 21045-1986
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Country | US
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Telephone | 410-715-1336
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Fax |
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Provider Business Mailing Address
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Address Line | 10376 BOCA RATON DR
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-7101
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/ OWNER
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Name | DR. PHILLIP M LIGGINS
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Credential | OD
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Telephone | 410-715-1336
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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 |
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License Number State |
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