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General NPI Number Information
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NPI Number | 1922164276
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Entity Type | Organization
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Legal Business Name | EYE CARE CENTERS PLLC
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 10/27/2010
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Provider Practice Location Address
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Address Line | 1798 ROANE STATE HWY
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City | HARRIMAN
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State | TN
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Zip | 37748-8305
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Country | US
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Telephone | 865-882-7470
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Fax | 865-882-2738
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Provider Business Mailing Address
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Address Line | 1798 ROANE STATE HWY
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City | HARRIMAN
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State | TN
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Zip | 37748-8305
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Country | US
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Telephone | 865-882-7470
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Fax | 865-882-2738
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Authorized Official
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Title or Position | PARTNER
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Name | SILVIA MENDE
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Credential | OD
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Telephone | 865-882-7470
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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