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General NPI Number Information
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NPI Number | 1962469668
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Entity Type | Organization
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Legal Business Name | EMPIRE VISION CENTER INC
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 75 WASHINGTON STREET, SUITE 3 CAMBRIDGE EYE DOCTORS
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City | PEMBROKE
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State | MA
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Zip | 02359
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Country | US
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Telephone | 781-826-5117
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Fax | 781-826-0954
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Provider Business Mailing Address
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Address Line | 2921 ERIE BLVD EAST EMPIRE VISION CENTER INC
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City | SYRACUSE
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State | NY
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Zip | 13224
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Country | US
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Telephone | 315-446-3145
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Fax | 315-445-7675
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Authorized Official
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Title or Position | SLV
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Name | MR. ALAN K THROWER
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Credential |
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Telephone | 315-446-3145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number |
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License Number State |
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