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NPI 1093760001

NPI 1093760001 : HUET EYE ASSOCIATES PC : BRIDGEVILLE, PA

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General NPI Number Information
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    NPI Number           |    1093760001
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    Entity Type          |    Organization 
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    Legal Business Name  |    HUET EYE ASSOCIATES PC 
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Dates
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    Enumeration Date     |    05/24/2006
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    Last Update Date     |    02/05/2008
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Provider Practice Location Address
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    Address Line         |    1155 WASHINGTON PIKE STE 77
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    City                 |    BRIDGEVILLE
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    State                |    PA
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    Zip                  |    15017-2827
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    Country              |    US
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    Telephone            |    412-221-7007
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    Fax                  |    412-220-8163
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Provider Business Mailing Address
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    Address Line         |    1155 WASHINGTON PIKE STE 77
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    City                 |    BRIDGEVILLE
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    State                |    PA
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    Zip                  |    15017-2827
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    Country              |    US
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    Telephone            |    412-221-7007
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    Fax                  |    412-220-8163
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Authorized Official
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    Title or Position    |    OWNER/V.P.
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    Name                 |     JANICE C HUET 
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    Credential           |    O.D.
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    Telephone            |    412-749-9618
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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       |    OEG000304
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    License Number State |    PA
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