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General NPI Number Information
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NPI Number | 1740847086
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Entity Type | Organization
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Legal Business Name | ROSIN EYECARE P.C.
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Dates
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Enumeration Date | 05/22/2019
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 412 ELYSIAN FIELDS RD
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City | NASHVILLE
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State | TN
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Zip | 37211-4211
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Country | US
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Telephone | 615-834-8495
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Fax | 615-833-1143
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Provider Business Mailing Address
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Address Line | 6233 CERMAK RD
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City | BERWYN
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State | IL
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Zip | 60402-2317
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Country | US
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Telephone | 708-749-2020
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Fax | 708-749-2069
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Authorized Official
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Title or Position | OWNER
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Name | GREGORY COLEY
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Credential | OD
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Telephone | 615-491-3847
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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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