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General NPI Number Information
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NPI Number | 1841326238
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Entity Type | Organization
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Legal Business Name | FAMILY EYE CARE ASSOCIATES OF ESCANABA, PC
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 814 LUDINGTON ST FAMILY EYE CARE
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City | ESCANABA
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State | MI
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Zip | 49829-3828
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Country | US
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Telephone | 906-786-6573
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Fax | 906-786-1174
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Provider Business Mailing Address
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Address Line | 814 LUDINGTON ST
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City | ESCANABA
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State | MI
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Zip | 49829-3828
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Country | US
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Telephone | 906-786-6573
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Fax | 906-786-1174
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Authorized Official
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Title or Position | OWNER
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Name | MARK LAWRENCE BARINOTTI
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Credential | O.D.
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Telephone | 906-786-6573
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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 | 4901003761
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License Number State | MI
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