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General NPI Number Information
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NPI Number | 1770806143
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Entity Type | Organization
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Legal Business Name | MERCY EYE INSTITUTE, LLC.
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Dates
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Enumeration Date | 03/12/2010
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Last Update Date | 08/04/2010
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Provider Practice Location Address
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Address Line | 5085 MONROE ST SUITE A
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City | TOLEDO
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State | OH
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Zip | 43623-3455
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Country | US
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Telephone | 800-647-3387
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Fax |
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Provider Business Mailing Address
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Address Line | 2200 JEFFERSON AVE 4TH FLOOR
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City | TOLEDO
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State | OH
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Zip | 43604-7101
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Country | US
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Telephone | 419-251-2673
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Fax | 419-251-0916
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Authorized Official
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Title or Position | REGIONAL CFO
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Name | TODD M WARNER
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Credential |
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Telephone | 419-251-2130
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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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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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