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General NPI Number Information
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NPI Number | 1801690680
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Entity Type | Organization
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Legal Business Name | REFOCUS EYE HEALTH OF CONNECTICUT PC
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 1080 DAY HILL RD STE 301
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City | WINDSOR
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State | CT
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Zip | 06095-5724
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Country | US
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Telephone | 860-386-8970
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Fax |
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Provider Business Mailing Address
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Address Line | 87 GRANDVIEW AVE STE B
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City | WATERBURY
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State | CT
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Zip | 06708-2514
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Country | US
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Telephone | 203-574-2020
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Fax |
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Authorized Official
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Title or Position | CEO/ AUTHORIZED OFFICAL
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Name | JEFFREY RINKOV
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Credential |
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Telephone | 203-574-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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