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General NPI Number Information
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NPI Number | 1932387818
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Entity Type | Organization
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Legal Business Name | ROBERT E. KANE OD
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Dates
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Enumeration Date | 02/04/2008
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Last Update Date | 01/21/2009
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Provider Practice Location Address
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Address Line | 168 NEW MILFORD TURNPIKE
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City | NEW PRESTON
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State | CT
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Zip | 06777-1610
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Country | US
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Telephone | 860-868-2020
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Fax | 860-868-2787
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Provider Business Mailing Address
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Address Line | PO BOX 2443 168 NEW MILFORD TURNPIKE
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City | NEW PRESTON
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State | CT
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Zip | 06777-1610
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Country | US
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Telephone | 860-868-2020
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Fax | 860-868-2787
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. SANDY J PAPSIN
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Credential |
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Telephone | 860-868-2020
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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 | 000767
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License Number State | CT
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