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General NPI Number Information
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NPI Number | 1184664120
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Entity Type | Organization
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Legal Business Name | FELTZ AND MCCLOY, LLC
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 12/17/2010
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Provider Practice Location Address
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Address Line | 1723 MARION-MT. GILEAD RD.
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City | MARION
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State | OH
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Zip | 43302-7842
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Country | US
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Telephone | 740-387-6880
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Fax | 740-387-7443
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Provider Business Mailing Address
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Address Line | 1723 MARION-MT. GILEAD RD.
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City | MARION
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State | OH
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Zip | 43302-7842
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Country | US
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Telephone | 740-387-6880
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Fax | 740-387-7443
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DENISE THIEL
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Credential |
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Telephone | 740-387-6633
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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 | 4642T1417
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License Number State | OH
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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 | 5472T2384
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4665T1440
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License Number State | OH
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 4665T1440
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 5472T2384
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 4642T1417
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License Number State | OH
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Taxonomy #8
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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 #9
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5572T2486
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License Number State | OH
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