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General NPI Number Information
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NPI Number | 1164564068
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Entity Type | Organization
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Legal Business Name | HOUSE CALL EYE CARE, LLC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 61 MORNING GLORY WAY
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-5451
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Country | US
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Telephone | 215-947-7317
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Fax | 215-938-1583
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Provider Business Mailing Address
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Address Line | 61 MORNING GLORY WAY
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-5451
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Country | US
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Telephone | 215-947-7317
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Fax | 215-938-1583
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. SHANA FARBER KORMAN
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Credential | OPTOMETRIST
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Telephone | 215-947-7317
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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 | OEG001133
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License Number State | PA
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