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General NPI Number Information
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NPI Number | 1831184472
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Entity Type | Organization
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Legal Business Name | NEW BREMEN EYECARE, LLC
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 431 S WASHINGTON ST
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City | NEW BREMEN
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State | OH
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Zip | 45869-1254
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Country | US
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Telephone | 419-629-3241
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Fax |
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Provider Business Mailing Address
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Address Line | 431 S WASHINGTON ST
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City | NEW BREMEN
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State | OH
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Zip | 45869-1254
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Country | US
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Telephone | 419-629-3241
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GENE F KNAPKE
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Credential | O.D.
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Telephone | 419-629-3241
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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 |
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License Number State |
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