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General NPI Number Information
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NPI Number | 1902086630
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Entity Type | Organization
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Legal Business Name | ROBERT F. JOZWIAK, O.D. INC.
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Dates
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Enumeration Date | 11/09/2007
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Last Update Date | 09/25/2009
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Provider Practice Location Address
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Address Line | 113 COMMERCE PARK DR STE A
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City | WESTERVILLE
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State | OH
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Zip | 43082-6055
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Country | US
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Telephone | 614-882-9131
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Fax | 614-882-9133
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Provider Business Mailing Address
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Address Line | 113 COMMERCE PARK DR STE A
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City | WESTERVILLE
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State | OH
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Zip | 43082-6055
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Country | US
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Telephone | 614-882-9131
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Fax | 614-882-9133
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT FLOYD JOZWIAK
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Credential | O.D.
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Telephone | 614-882-9131
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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 | 2871T504
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License Number State | OH
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