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General NPI Number Information
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NPI Number | 1063739209
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Entity Type | Organization
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Legal Business Name | JOSEPH E. DROTER, OD, PC
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Dates
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Enumeration Date | 04/28/2010
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Last Update Date | 04/28/2010
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Provider Practice Location Address
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Address Line | 10835 RIDGEFIELD PARKWAY
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City | RICHMOND
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State | VA
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Zip | 23233-3501
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Country | US
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Telephone | 804-741-1204
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Fax | 804-741-7071
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Provider Business Mailing Address
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Address Line | 10835 RIDGEFIELD PARKWAY
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City | RICHMOND
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State | VA
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Zip | 23233-3501
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Country | US
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Telephone | 804-741-1204
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Fax | 804-741-7071
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JOSEPH E. DROTER
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Credential | OD
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Telephone | 804-741-1204
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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 | 061800012
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License Number State | VA
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