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General NPI Number Information
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NPI Number | 1801232848
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Entity Type | Organization
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Legal Business Name | COMBS FAMILY EYECARE LLC
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Dates
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Enumeration Date | 05/16/2013
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Last Update Date | 04/06/2020
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Provider Practice Location Address
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Address Line | 4883 PRINCETON ROAD
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45011-8057
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Country | US
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Telephone | 513-895-2020
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Fax | 513-895-2020
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Provider Business Mailing Address
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Address Line | 4883 PRINCETON ROAD
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45011-8047
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Country | US
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Telephone | 513-895-2020
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Fax | 513-895-1900
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Authorized Official
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Title or Position | FOUNDING PARTNER
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Name | DR. ERIC T COMBS
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Credential | OD
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Telephone | 513-895-2020
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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 | 6011
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 6024
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License Number State | OH
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