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General NPI Number Information
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NPI Number | 1811027584
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Entity Type | Organization
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Legal Business Name | EYEWEAR AT THE HAMPTONS
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 27040 CEDAR RD SUITE 109
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City | BEACHWOOD
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-514-3322
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Fax | 216-514-3323
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Provider Business Mailing Address
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Address Line | 27040 CEDAR RD SUITE 109
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City | BEACHWOOD
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State | OH
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Zip | 44122
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Country | US
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Telephone | 216-514-3322
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Fax | 216-514-3323
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Authorized Official
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Title or Position | V PRES SECY CO FOUNDER
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Name | MS. PAULA JAKAB
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Credential | OPTICIAN
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Telephone | 216-514-3322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | S6582
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | S3787
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License Number State | OH
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