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General NPI Number Information
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NPI Number | 1831611524
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Entity Type | Organization
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Legal Business Name | DAVID E. PALOZEJ EYECARE ASSOCIATES, LLC
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Dates
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Enumeration Date | 07/13/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 384 MERROW RD STE A
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City | TOLLAND
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State | CT
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Zip | 06084-3972
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Country | US
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Telephone | 860-870-4632
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Fax | 860-870-4634
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Provider Business Mailing Address
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Address Line | 384 MERROW RD STE A
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City | TOLLAND
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State | CT
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Zip | 06084-3972
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Country | US
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Telephone | 860-870-4632
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Fax | 860-870-4634
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DAVID E PALOZEJ
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Credential | OD
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Telephone | 860-870-4632
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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 | 002101
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License Number State | CT
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