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General NPI Number Information
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NPI Number | 1235274176
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Entity Type | Individual
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Provider Name | MARVIN L PFLAUMER OD
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Gender | Male
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 201 N CHURCH ST
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City | NEW CARLISLE
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State | OH
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Zip | 45344-1848
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Country | US
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Telephone | 937-845-9444
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Fax | 937-845-1151
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Provider Business Mailing Address
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Address Line | 201 N CHURCH ST P O BOX 417
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City | NEW CARLISLE
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State | OH
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Zip | 45344-1848
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Country | US
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Telephone | 937-845-9444
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Fax | 937-845-1151
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2835T598
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License Number State | OH
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