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General NPI Number Information
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NPI Number | 1023287950
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Entity Type | Organization
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Legal Business Name | J.A. RYBARCZYK, O.D. & ASSOCIATES, P.C.
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 10/14/2008
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Provider Practice Location Address
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Address Line | 1501 SAMS CIR SUITE A
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4694
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Country | US
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Telephone | 757-382-9814
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Fax |
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Provider Business Mailing Address
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Address Line | 727 WILLOW BROOK RD
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City | CHESAPEAKE
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State | VA
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Zip | 23320-3552
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JULIE A RYBARCZYK
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Credential | O.D.
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Telephone | 757-382-9814
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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 | 0618000648
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License Number State | VA
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