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General NPI Number Information
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NPI Number | 1194194670
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Entity Type | Organization
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Legal Business Name | A-1 OPTICAL LLC
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Dates
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Enumeration Date | 09/15/2015
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 1905 FERNBROOK AVE
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City | OAKFORD
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State | PA
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Zip | 19053-3505
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Country | US
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Telephone | 215-355-8446
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Fax |
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Provider Business Mailing Address
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Address Line | 1905 FERNBROOK AVE
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City | OAKFORD
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State | PA
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Zip | 19053-3505
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Country | US
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Telephone | 215-355-8446
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Fax |
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Authorized Official
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Title or Position | OPTICIAN
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Name | MRS. JANET BARKER
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Credential |
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Telephone | 215-355-8446
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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 | PA
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