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General NPI Number Information
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NPI Number | 1235178211
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Entity Type | Organization
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Legal Business Name | ROBERT RICART OD AND ASSOCIATES
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 300 STATE ST SUITE 202
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City | ERIE
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State | PA
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Zip | 16507-1427
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Country | US
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Telephone | 814-454-6517
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Fax | 814-454-0604
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Provider Business Mailing Address
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Address Line | 300 STATE ST SUITE 202
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City | ERIE
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State | PA
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Zip | 16507-1427
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Country | US
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Telephone | 814-454-6517
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Fax | 814-454-0604
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Authorized Official
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Title or Position | OPTOMETRIST / OWNER
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Name | DR. ROBERT NEFF RICART
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Credential | OD
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Telephone | 814-454-6517
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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 | OEG000491
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License Number State | PA
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