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General NPI Number Information
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NPI Number | 1164423869
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Entity Type | Organization
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Legal Business Name | EPHRATA FAMILY EYE CARE LLP
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Dates
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Enumeration Date | 08/03/2005
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 101 E MAIN ST
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City | EPHRATA
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State | PA
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Zip | 17522-2710
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Country | US
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Telephone | 717-738-2488
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Fax | 717-721-9088
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Provider Business Mailing Address
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Address Line | PO BOX 699 101 E MAIN STREET
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City | EPHRATA
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State | PA
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Zip | 17522-0699
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Country | US
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Telephone | 717-738-2488
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Fax | 717-721-9088
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Authorized Official
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Title or Position | PARTNER
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Name | DR. RONALD J BENSING
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Credential | OD
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Telephone | 717-738-2488
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG000376 OEG000476
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License Number State | PA
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