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General NPI Number Information
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NPI Number | 1891113163
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Entity Type | Organization
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Legal Business Name | DR. TOM SCZEPANSKI EYE CARE, LLC
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 05/27/2014
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Provider Practice Location Address
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Address Line | 3400 55TH ST NW WALMART NORTH
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City | ROCHESTER
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State | MN
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Zip | 55901-0123
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Country | US
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Telephone | 507-280-8438
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Fax | 507-280-9284
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Provider Business Mailing Address
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Address Line | 3675 NOTTINGHAM DR NW
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City | ROCHESTER
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State | MN
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Zip | 55901-3197
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | THOMAS SCZEPANSKI
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Credential | O.D.
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Telephone | 507-398-3802
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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 | 2418
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License Number State | MN
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