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General NPI Number Information
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NPI Number | 1831746437
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Entity Type | Organization
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Legal Business Name | CLEAR CHOICE EYE CARE, INC.
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 906 GREAT EAST PLZ
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City | NILES
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State | OH
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Zip | 44446-4818
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Country | US
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Telephone | 330-505-1327
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Fax |
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Provider Business Mailing Address
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Address Line | 906 GREAT EAST PLZ
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City | NILES
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State | OH
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Zip | 44446-4818
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Country | US
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Telephone | 330-505-1327
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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. MICHAEL THIMONS
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Credential | O.D.
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Telephone | 412-716-6433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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