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General NPI Number Information
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NPI Number | 1942354196
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Entity Type | Organization
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Legal Business Name | EYE ASSOCIATES
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 04/05/2010
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Provider Practice Location Address
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Address Line | 500 AARON CT
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City | KINGSTON
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State | NY
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Zip | 12401-2966
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Country | US
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Telephone | 845-338-3413
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Fax |
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Provider Business Mailing Address
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Address Line | 500 AARON CT
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City | KINGSTON
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State | NY
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Zip | 12401-2966
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Country | US
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Telephone | 845-338-3413
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | ROBERT FISCH
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Credential | M.D.
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Telephone | 845-331-0711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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