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General NPI Number Information
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NPI Number | 1124371620
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Entity Type | Organization
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Legal Business Name | SAVOCHKA EYE ASSOCIATES, LLC
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Dates
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Enumeration Date | 10/21/2012
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Last Update Date | 10/21/2012
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Provider Practice Location Address
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Address Line | 215 LANCASTER AVE STE F5 LINCOLN COURT SHOPPING CENTER
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City | FRAZER
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State | PA
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Zip | 19355-1874
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Country | US
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Telephone | 609-760-8079
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Fax |
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Provider Business Mailing Address
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Address Line | 4128 CRESCENT DR
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City | CHESTER SPRINGS
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State | PA
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Zip | 19425-3912
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Country | US
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Telephone | 609-760-8079
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JASON MICHAEL SAVOCHKA
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Credential | O.D.
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Telephone | 609-760-8079
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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 00132300
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License Number State | PA
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