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General NPI Number Information
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NPI Number | 1982643334
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Entity Type | Organization
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Legal Business Name | CLARITY EYE CENTER INC.
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1401 FOULK RD SUITE 105
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City | WILMINGTON
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State | DE
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Zip | 19803-2763
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Country | US
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Telephone | 302-477-4515
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Fax | 302-477-4516
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Provider Business Mailing Address
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Address Line | 23 BEECH TREE DR
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City | GLEN MILLS
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State | PA
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Zip | 19342-1172
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Country | US
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Telephone | 302-477-4515
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Fax | 302-477-4516
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARI SKOVRONSKY
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Credential | M.D.
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Telephone | 301-477-4515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | C10007264
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License Number State | DE
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