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General NPI Number Information
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NPI Number | 1295812030
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Entity Type | Individual
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Provider Name | JOSEPH DAVID DZIBELA O.D.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 7347 BELL CREEK RD STE 200
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City | MECHANICSVILLE
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State | VA
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Zip | 23111-3504
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Country | US
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Telephone | 804-746-5245
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 45923
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City | BALTIMORE
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State | MD
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Zip | 21297-5923
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Country | US
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Telephone | 877-969-0392
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Fax | 804-658-0582
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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 | 0618001917
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License Number State | VA
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