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General NPI Number Information
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NPI Number | 1306030853
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Entity Type | Organization
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Legal Business Name | YOUR EYES CENTER INC
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 176 NORTH PINE
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City | LANGHORNE
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State | PA
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Zip | 19047
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Country | US
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Telephone | 215-741-0828
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Fax |
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Provider Business Mailing Address
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Address Line | 320 GRAND AVE
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City | LANGHORNE
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State | PA
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Zip | 19047-3171
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Country | US
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Telephone | 215-741-0828
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MILLA BATUSHANSKY
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Credential | OD
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Telephone | 215-741-0828
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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 | OEG001395
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License Number State | PA
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