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General NPI Number Information
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NPI Number | 1104384130
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Entity Type | Organization
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Legal Business Name | ELMWOOD EYE, P.C.
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Dates
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Enumeration Date | 03/08/2019
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Last Update Date | 03/08/2019
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Provider Practice Location Address
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Address Line | 1601 2ND AVE
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City | YORK
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State | PA
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Zip | 17403-1940
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Country | US
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Telephone | 717-848-2520
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Fax | 717-846-2861
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Provider Business Mailing Address
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Address Line | 1601 2ND AVE
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City | YORK
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State | PA
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Zip | 17403-1940
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Country | US
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Telephone | 717-848-2520
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Fax | 717-846-2861
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DENISE LEE KERCHNER
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Credential | MD
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Telephone | 717-848-2520
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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 |
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License Number State |
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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 |
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License Number State |
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