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General NPI Number Information
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NPI Number | 1962232959
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Entity Type | Organization
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Legal Business Name | PATRICK FAMILY EYE CARE LLC
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Dates
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Enumeration Date | 08/05/2024
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 1221 S PATRICK DR BLDG 1364
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City | PATRICK AFB
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State | FL
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Zip | 32925-3623
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Country | US
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Telephone | 321-783-5580
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 S PATRICK DR BLDG 1364
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City | PATRICK AFB
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State | FL
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Zip | 32925-3623
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Country | US
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Telephone | 908-229-6655
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST / OWNER
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Name | DR. KEVIN JOSEPH HRABINSKI
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Credential | OD
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Telephone | 908-229-6655
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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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