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General NPI Number Information
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NPI Number | 1104847193
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Entity Type | Organization
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Legal Business Name | ALBERT A. ALLEY, LTD
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 01/25/2008
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Provider Practice Location Address
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Address Line | 1510 CORNWALL RD
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City | LEBANON
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State | PA
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Zip | 17042-7479
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Country | US
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Telephone | 717-273-0662
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Fax | 717-270-9810
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Provider Business Mailing Address
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Address Line | 1510 CORNWALL RD
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City | LEBANON
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State | PA
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Zip | 17042-7479
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Country | US
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Telephone | 717-273-0662
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Fax | 717-270-9810
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Authorized Official
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Title or Position | OPHTHALMOLOGIST
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Name | DR. ALBERT A ALLEY
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Credential | M.D.
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Telephone | 717-273-0662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD009878E
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License Number State | PA
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