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General NPI Number Information
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NPI Number | 1013181940
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Entity Type | Organization
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Legal Business Name | MATTHIAS HELFRICH O.D. INC
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 1027 E BROAD ST
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City | ELYRIA
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State | OH
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Zip | 44035-6303
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Country | US
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Telephone | 440-366-6700
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Fax | 440-365-3939
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Provider Business Mailing Address
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Address Line | 1027 E BROAD ST
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City | ELYRIA
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State | OH
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Zip | 44035-6303
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Country | US
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Telephone | 440-366-6700
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Fax | 440-365-3939
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MATTHIAS HELFRICH
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Credential | O.D.
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Telephone | 440-366-6700
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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 | OH3672
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License Number State | OH
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