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General NPI Number Information
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NPI Number | 1104848597
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Entity Type | Organization
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Legal Business Name | ALLEGHENY VISION ASSOCIATES
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 6305 LIBRARY RD
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City | SOUTH PARK
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State | PA
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Zip | 15129-8502
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Country | US
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Telephone | 412-854-4130
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Fax | 412-854-8175
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Provider Business Mailing Address
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Address Line | 6305 LIBRARY RD P.O. BOX 423
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City | SOUTH PARK
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State | PA
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Zip | 15129-8502
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Country | US
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Telephone | 412-854-4130
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Fax | 412-854-8175
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. DANEEN BOEHME
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Credential |
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Telephone | 412-854-4130
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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 | OEG000653
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License Number State | PA
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