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General NPI Number Information
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NPI Number | 1265901987
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Entity Type | Organization
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Legal Business Name | WINK EYE CARE AND OPTICAL, LLC
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 11/26/2018
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Provider Practice Location Address
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Address Line | 838 CHESTNUT CT
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City | LANGHORNE
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State | PA
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Zip | 19047-4102
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Country | US
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Telephone | 215-601-9620
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Fax |
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Provider Business Mailing Address
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Address Line | 838 CHESTNUT CT
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City | LANGHORNE
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State | PA
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Zip | 19047-4102
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Country | US
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Telephone | 121-560-1962
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | MINAL PATEL
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Credential | OD
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Telephone | 215-601-9620
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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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