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General NPI Number Information
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NPI Number | 1982328670
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Entity Type | Organization
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Legal Business Name | DR. EYEFIT, LLC
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Dates
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Enumeration Date | 09/27/2022
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | 25 CHURCH HILL RD
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City | NEWTOWN
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State | CT
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Zip | 06470-1639
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Country | US
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Telephone | 203-426-5586
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Fax |
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Provider Business Mailing Address
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Address Line | 237 STADLEY ROUGH RD
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City | DANBURY
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State | CT
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Zip | 06811-3235
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Country | US
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Telephone | 347-733-0594
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. VLADISLAV KOYFMAN
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Credential | OD
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Telephone | 203-426-5586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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