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General NPI Number Information
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NPI Number | 1942457320
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Entity Type | Organization
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Legal Business Name | TLC EYE CARE, LLC
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Dates
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Enumeration Date | 08/27/2008
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Last Update Date | 11/05/2008
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Provider Practice Location Address
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Address Line | 930 N COLONY RD SUITE I
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City | WALLINGFORD
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State | CT
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Zip | 06492-2471
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Country | US
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Telephone | 203-265-4362
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Fax | 203-265-0415
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Provider Business Mailing Address
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Address Line | 930 N COLONY RD SUITE I
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City | WALLINGFORD
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State | CT
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Zip | 06492-2471
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Country | US
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Telephone | 203-265-4362
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Fax | 203-265-0415
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. LINDA CALIOLO
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Credential | O.D.
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Telephone | 203-265-4362
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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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