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General NPI Number Information
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NPI Number | 1003862095
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Entity Type | Organization
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Legal Business Name | STIRLING VILLAGE EYE CARE
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 318 STIRLING VLG
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City | BUTLER
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State | PA
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Zip | 16001-6728
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Country | US
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Telephone | 724-285-2618
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Fax | 724-285-2618
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Provider Business Mailing Address
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Address Line | 166 POINT PLZ
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City | BUTLER
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State | PA
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Zip | 16001-2540
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Country | US
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Telephone | 724-285-2618
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Fax | 724-285-7507
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CLAUDIA M GONZALEZ
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Credential | O.D.
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Telephone | 724-285-2618
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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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