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General NPI Number Information
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NPI Number | 1013926146
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Entity Type | Organization
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Legal Business Name | CHESTER COUNTY OPTICIANS, INC
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 03/11/2014
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Provider Practice Location Address
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Address Line | 923 PAOLI PIKE
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City | WEST CHESTER
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State | PA
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Zip | 19380-4527
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Country | US
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Telephone | 610-692-8300
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Fax | 610-692-6007
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Provider Business Mailing Address
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Address Line | 923 PAOLI PIKE
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City | WEST CHESTER
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State | PA
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Zip | 19380-4527
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Country | US
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Telephone | 610-692-8300
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Fax | 610-692-6007
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. DANIEL P JOHNSON
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Credential | OD
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Telephone | 610-692-8300
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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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