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General NPI Number Information
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NPI Number | 1326290495
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Entity Type | Organization
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Legal Business Name | OPTIQUE INC.
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 3233 BELMONT ST
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City | BELLAIRE
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State | OH
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Zip | 43906-1520
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Country | US
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Telephone | 740-676-4717
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Fax | 740-676-4695
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Provider Business Mailing Address
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Address Line | 3233 BELMONT ST
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City | BELLAIRE
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State | OH
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Zip | 43906-1520
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Country | US
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Telephone | 740-676-4717
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Fax | 740-676-4695
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID M. MELGARY
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Credential | O.D.
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Telephone | 740-676-4717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 3515
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License Number State | OH
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