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General NPI Number Information
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NPI Number | 1013165364
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Entity Type | Organization
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Legal Business Name | LARYSA BILYK, P.C.
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Dates
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Enumeration Date | 08/28/2008
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Last Update Date | 08/26/2016
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Provider Practice Location Address
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Address Line | 45 W LANCASTER AVE
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City | ARDMORE
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State | PA
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Zip | 19003-1302
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Country | US
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Telephone | 610-642-1637
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Fax | 484-417-6389
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Provider Business Mailing Address
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Address Line | 45 W LANCASTER AVE
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City | ARDMORE
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State | PA
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Zip | 19003-1408
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Country | US
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Telephone | 610-642-1637
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Fax | 484-417-6389
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LARYSA BILYK
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Credential | O.D.
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Telephone | 610-642-1637
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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 | OE006385T
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License Number State | PA
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