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General NPI Number Information
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NPI Number | 1154471845
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Entity Type | Organization
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Legal Business Name | BRUCE W PRATTE AND DANI
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 07/16/2009
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Provider Practice Location Address
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Address Line | 1674 N LIMESTONE ST
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City | SPRINGFIELD
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State | OH
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Zip | 45503-2652
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Country | US
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Telephone | 937-322-6411
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Fax | 937-322-3132
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Provider Business Mailing Address
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Address Line | 1674 N LIMESTONE ST
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City | SPRINGFIELD
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State | OH
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Zip | 45503-2652
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Country | US
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Telephone | 937-322-6411
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | BRUCE W PRATTE
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Credential | O.D.
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Telephone | 937-322-6411
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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 |
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License Number State |
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