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General NPI Number Information
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NPI Number | 1851419956
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Entity Type | Organization
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Legal Business Name | ALESSIO OPTICAL
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 17534 ROYALTON ROAD
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City | STRONGSVILLE
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State | OH
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Zip | 44136-5151
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Country | US
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Telephone | 440-238-1515
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Fax | 440-238-0030
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Provider Business Mailing Address
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Address Line | 17534 ROYALTON ROAD
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City | STRONGSVILLE
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State | OH
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Zip | 44136-5151
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Country | US
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Telephone | 440-238-1515
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Fax | 440-238-0030
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RENO L ALESSIO
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Credential | MD
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Telephone | 440-238-5030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 18-373349
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number | 47905
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 35085164
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License Number State | OH
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