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General NPI Number Information
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NPI Number | 1790880987
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Entity Type | Organization
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Legal Business Name | BOSTON EYE CARE ADVANCED OPTOMETRIC CENTER, INC.
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 08/28/2009
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Provider Practice Location Address
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Address Line | 600 COFFEE RD SUITE H
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1208
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Country | US
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Telephone | 661-832-3939
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Fax | 661-832-3938
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Provider Business Mailing Address
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Address Line | 600 COFFEE RD SUITE H
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1208
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Country | US
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Telephone | 661-832-3939
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Fax | 661-832-3938
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Authorized Official
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Title or Position | OPTOMETRIST/PRESIDENT
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Name | DR. JOSEPH FRANK FIGAZOLO
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Credential | O.D.
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Telephone | 661-832-3939
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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 | 6438T
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License Number State | CA
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