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General NPI Number Information
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NPI Number | 1194818971
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Entity Type | Organization
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Legal Business Name | REBMAN EYECARE, P.C.
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 04/13/2012
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Provider Practice Location Address
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Address Line | 282 MAYTOWN RD STE 100
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-9313
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Country | US
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Telephone | 717-367-7838
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Fax | 717-367-6266
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Provider Business Mailing Address
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Address Line | 282 MAYTOWN RD STE 100
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-9313
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Country | US
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Telephone | 717-367-7838
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Fax | 717-367-6266
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH PAUL REBMAN
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Credential | O.D.
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Telephone | 717-367-7838
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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 | OEG000512
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License Number State | PA
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