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General NPI Number Information
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NPI Number | 1891809703
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Entity Type | Individual
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Provider Name | ROBERT W EKIN O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3201 PRINCETON RD
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City | HAMILTON
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State | OH
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Zip | 45011-5332
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Country | US
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Telephone | 513-869-8419
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Fax | 513-869-8421
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Provider Business Mailing Address
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Address Line | 30 TYLER CT
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City | SPRINGBORO
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State | OH
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Zip | 45066-8300
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Country | US
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Telephone | 937-885-0605
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Fax | 513-869-8421
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4835 / T1700
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License Number State | OH
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