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General NPI Number Information
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NPI Number | 1194808444
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Entity Type | Organization
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Legal Business Name | RICHARD P CHRISTOPH, O.D.
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1135 BERKSHIRE BLVD INSIDE WAL-MART VISION CENTER
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City | WYOMISSING
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State | PA
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Zip | 19610-1243
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Country | US
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Telephone | 610-376-5973
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Fax | 610-376-3427
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Provider Business Mailing Address
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Address Line | 1135 BERKSHIRE BLVD INSIDE WAL-MART VISION CENTER
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City | WYOMISSING
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State | PA
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Zip | 19610-1243
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Country | US
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Telephone | 610-376-5973
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Fax | 610-376-3427
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. RICHARD P CHRISTOPH
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Credential | O.D.
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Telephone | 610-376-5973
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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 | OEG001619
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License Number State | PA
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