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General NPI Number Information
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NPI Number | 1336234582
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Entity Type | Individual
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Provider Name | EDWARD A EHRLICH OD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 10 GLENRIDGE RD
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City | SCHENECTADY
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State | NY
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Zip | 12302-4524
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Country | US
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Telephone | 518-881-7066
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Fax |
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Provider Business Mailing Address
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Address Line | 13 PLAID PL
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City | CLIFTON PARK
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State | NY
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Zip | 12065-3621
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Country | US
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Telephone | 518-383-1495
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Fax |
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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 | 003344
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License Number State | NY
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