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General NPI Number Information
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NPI Number | 1932439148
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Entity Type | Organization
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Legal Business Name | WESTLAKE EYE CENTER INC
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Dates
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Enumeration Date | 01/11/2010
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Last Update Date | 04/15/2010
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Provider Practice Location Address
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Address Line | 27059 CENTER RIDGE RD
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City | WESTLAKE
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State | OH
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Zip | 44145-4064
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Country | US
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Telephone | 440-871-8933
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Fax | 440-899-9462
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Provider Business Mailing Address
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Address Line | 27059 CENTER RIDGE RD
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City | WESTLAKE
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State | OH
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Zip | 44145-4064
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Country | US
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Telephone | 440-871-8933
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Fax | 440-899-9462
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. JOANNA M CZAPLICKI
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Credential |
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Telephone | 440-871-8933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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