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General NPI Number Information
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NPI Number | 1194273656
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Entity Type | Organization
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Legal Business Name | WHITLING EYE CO.
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 09/13/2016
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Provider Practice Location Address
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Address Line | 21920 ROUTE 119
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City | PUNXSUTAWNEY
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State | PA
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Zip | 15767-7975
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Country | US
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Telephone | 814-938-9100
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Fax | 814-938-8431
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Provider Business Mailing Address
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Address Line | 400 BUTLER ST
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City | BROOKVILLE
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State | PA
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Zip | 15825-1002
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Country | US
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Telephone | 814-450-4066
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Fax | 814-849-0861
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. BENJAMIN HAROLD WHITLING
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Credential | O.D.
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Telephone | 814-450-4066
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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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