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General NPI Number Information
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NPI Number | 1013964535
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Entity Type | Organization
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Legal Business Name | VALLEY EYE PROFESSIONALS LLC
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Dates
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Enumeration Date | 05/29/2006
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Last Update Date | 09/27/2016
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Provider Practice Location Address
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Address Line | 2755 PHILMONT AVE UNIT 140
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-5368
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Country | US
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Telephone | 215-938-7878
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Fax |
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Provider Business Mailing Address
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Address Line | 2755 PHILMONT AVE UNIT 140
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-5321
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Country | US
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Telephone | 215-938-7878
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. NANCY F WILKINSON
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Credential |
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Telephone | 215-938-7865
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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 | OEG000964
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License Number State | PA
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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 | MD029289E
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License Number State | PA
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