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General NPI Number Information
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NPI Number | 1225134554
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Entity Type | Organization
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Legal Business Name | DR.SANDRA T.WEST, LLC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2501 ROUTE 130 S
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City | CINNAMINSON
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State | NJ
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Zip | 08077-3075
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Country | US
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Telephone | 856-303-2134
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Fax | 856-303-2136
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Provider Business Mailing Address
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Address Line | 1714 BEECH AVE
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City | ELKINS PARK
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State | PA
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Zip | 19027-1076
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Country | US
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Telephone | 215-782-8799
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Fax | 215-782-8799
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. SANDRA T WEST
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Credential | O.D.
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Telephone | 215-782-8799
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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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