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General NPI Number Information
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NPI Number | 1124279138
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Entity Type | Organization
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Legal Business Name | SHARON OPTICAL INC
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 11/05/2014
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Provider Practice Location Address
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Address Line | 1818 E STATE ST
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City | HERMITAGE
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State | PA
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Zip | 16148-1852
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Country | US
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Telephone | 724-347-7130
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Fax | 724-347-7118
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Provider Business Mailing Address
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Address Line | 1818 E STATE ST
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City | HERMITAGE
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State | PA
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Zip | 16148-1852
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Country | US
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Telephone | 724-347-7130
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Fax | 724-347-7118
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALAN J FRANK
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Credential | OD
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Telephone | 724-347-7130
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | OEG1108
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License Number State | PA
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