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NPI 1073700746

NPI 1073700746 : KAREN S BELING OPTOMETRY LLC : EDGEWATER, MD

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General NPI Number Information
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    NPI Number           |    1073700746
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    Entity Type          |    Organization 
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    Legal Business Name  |    KAREN S BELING OPTOMETRY LLC 
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Dates
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    Enumeration Date     |    09/26/2007
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    Last Update Date     |    05/13/2013
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Provider Practice Location Address
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    Address Line         |    2979 SOLOMONS ISLAND RD 
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    City                 |    EDGEWATER
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    State                |    MD
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    Zip                  |    21037-1414
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    Country              |    US
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    Telephone            |    410-956-2828
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    Fax                  |    410-956-2853
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Provider Business Mailing Address
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    Address Line         |    2979 SOLOMONS ISLAND RD 
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    City                 |    EDGEWATER
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    State                |    MD
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    Zip                  |    21037-1414
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    Country              |    US
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    Telephone            |    410-956-2828
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    Fax                  |    410-956-2853
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Authorized Official
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    Title or Position    |    INSURANCE/BILLING
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    Name                 |    MRS. JEANNIE  ALLEN 
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    Credential           |    
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    Telephone            |    410-956-2828
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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       |    TA1536
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    License Number State |    MD
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