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General NPI Number Information
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NPI Number | 1114926938
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Entity Type | Individual
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Provider Name | CHRISTOPHER J. NOWIK O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 385 BANGOR JUNCTION RD
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City | BANGOR
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State | PA
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Zip | 18013-9369
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Country | US
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Telephone | 610-588-0129
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Fax | 610-588-4700
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Provider Business Mailing Address
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Address Line | 385 BANGOR JUNCTION RD
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City | BANGOR
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State | PA
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Zip | 18013-9369
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Country | US
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Telephone | 610-588-0129
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Fax | 610-588-4700
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | OEG-000536
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License Number State | PA
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