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General NPI Number Information
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NPI Number | 1831289263
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Entity Type | Organization
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Legal Business Name | EYECARE PLUS LLC
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Dates
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Enumeration Date | 10/14/2006
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 228 S MAIN ST EYECARE PLUS LLC
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City | NEWTOWN
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State | CT
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Zip | 06470-2764
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Country | US
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Telephone | 203-426-3545
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Fax | 203-364-1866
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Provider Business Mailing Address
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Address Line | 228 S MAIN ST EYECARE PLUS LLC
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City | NEWTOWN
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State | CT
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Zip | 06470-2764
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Country | US
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Telephone | 203-426-3545
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Fax | 203-364-1866
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEAN R HARVEY
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Credential | OD
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Telephone | 203-426-3545
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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 | CT2094
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License Number State | CT
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