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General NPI Number Information
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NPI Number | 1336028257
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Entity Type | Organization
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Legal Business Name | ROXBOROUGH EYE CARE LLC
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 7130 RIDGE AVE STE 7
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City | PHILADELPHIA
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State | PA
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Zip | 19128-3250
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Country | US
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Telephone | 267-866-7311
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Fax |
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Provider Business Mailing Address
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Address Line | 7130 RIDGE AVE STE 7
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City | PHILADELPHIA
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State | PA
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Zip | 19128-3250
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Country | US
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Telephone | 267-866-7311
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Fax | 267-866-7312
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. TU X DINH
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Credential | O.D.
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Telephone | 215-391-3811
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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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