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General NPI Number Information
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NPI Number | 1255419966
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Entity Type | Organization
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Legal Business Name | THOMAS H. HANDEL OD, INC.
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 03/25/2014
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Provider Practice Location Address
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Address Line | 270 S CLEVELAND MASSILLON RD SUITE A
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City | FAIRLAWN
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State | OH
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Zip | 44333-3014
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Country | US
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Telephone | 330-666-1766
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Fax | 330-670-9662
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Provider Business Mailing Address
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Address Line | 270 S CLEVELAND MASSILLON RD SUITE A
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City | FAIRLAWN
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State | OH
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Zip | 44333-3014
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Country | US
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Telephone | 330-666-1766
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Fax | 330-670-9662
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS HEINZ HANDEL
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Credential | OD
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Telephone | 330-666-1766
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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 | 3945/T474
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License Number State | OH
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