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General NPI Number Information
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NPI Number | 1235372525
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Entity Type | Organization
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Legal Business Name | ALLISON EYE CARE LLC
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Dates
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Enumeration Date | 04/15/2009
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 400 BUTLER CMNS VISION CENTER
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City | BUTLER
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State | PA
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Zip | 16001-2496
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Country | US
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Telephone | 724-282-4054
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Fax | 724-282-5645
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Provider Business Mailing Address
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Address Line | 400 BUTLER CMNS VISION CENTER
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City | BUTLER
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State | PA
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Zip | 16001-2496
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Country | US
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Telephone | 724-282-4054
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Fax | 724-282-5645
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Authorized Official
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Title or Position | OPTOMETRST
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Name | DR. ANN C ALLISON
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Credential | OD
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Telephone | 724-282-4054
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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 | OEG000698
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License Number State | PA
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