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General NPI Number Information
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NPI Number | 1811967490
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Entity Type | Organization
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Legal Business Name | DELAWARE EYE M.D'S ASSOCIATES
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 04/24/2020
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Provider Practice Location Address
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Address Line | 2055 LIMESTONE RD SUITE 102
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City | WILMINGTON
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State | DE
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Zip | 19808-5536
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Country | US
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Telephone | 302-992-0430
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Fax | 302-992-0461
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Provider Business Mailing Address
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Address Line | 2055 LIMESTONE RD SUITE 102
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City | WILMINGTON
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State | DE
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Zip | 19808-5536
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Country | US
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Telephone | 302-992-0430
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Fax | 302-992-0461
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Authorized Official
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Title or Position | OWNER
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Name | DOROTHY MARION MOORE
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Credential | M.D.
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Telephone | 302-992-0430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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