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General NPI Number Information
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NPI Number | 1811139736
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Entity Type | Organization
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Legal Business Name | HOLLAND EYE CARE,INC.
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Dates
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Enumeration Date | 03/25/2009
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Last Update Date | 05/23/2011
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Provider Practice Location Address
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Address Line | 9745 FALL CREEK RD SUITE400
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-4728
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Country | US
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Telephone | 317-578-0202
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Fax | 317-578-2696
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Provider Business Mailing Address
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Address Line | 9745 FALL CREEK RD SUITE400
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City | INDIANAPOLIS
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State | IN
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Zip | 46256-4728
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Country | US
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Telephone | 317-578-0202
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Fax | 317-578-2696
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Authorized Official
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Title or Position | OWNER
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Name | DOLORES GIBBONS HOLLAND
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Credential | OD
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Telephone | 317-578-0202
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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 | 18002199B
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License Number State | IN
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