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General NPI Number Information
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NPI Number | 1285759316
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Entity Type | Organization
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Legal Business Name | ROBERT OPTICAL INC.
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 12/12/2007
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Provider Practice Location Address
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Address Line | 4003 HARLEM RD
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City | SNYDER
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State | NY
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Zip | 14226-4707
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Country | US
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Telephone | 716-839-1110
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Fax | 716-839-1178
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Provider Business Mailing Address
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Address Line | 4003 HARLEM RD
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City | SNYDER
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State | NY
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Zip | 14226-4707
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Country | US
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Telephone | 716-839-1110
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Fax | 716-839-1178
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROBERT JOHN SCHAEFER JR.
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Credential |
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Telephone | 716-839-1110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 3936
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License Number State | NY
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