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General NPI Number Information
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NPI Number | 1013949874
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Entity Type | Organization
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Legal Business Name | EYE PLASTIC SURGERY LTD
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 07/26/2010
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Provider Practice Location Address
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Address Line | 610 W GERMANTOWN PIKE SUITE 161
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1062
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Country | US
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Telephone | 610-828-8880
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Fax | 610-828-8883
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Provider Business Mailing Address
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Address Line | 610 W GERMANTOWN PIKE SUITE 161
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1050
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Country | US
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Telephone | 610-828-8880
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Fax | 610-828-8883
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALLAN E WUK
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Credential | MD
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Telephone | 215-918-5552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD027087E
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License Number State |
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