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General NPI Number Information
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NPI Number | 1346224490
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Entity Type | Organization
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Legal Business Name | NEVYAS EYE ASSOCIATES, PC
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 05/07/2008
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Provider Practice Location Address
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Address Line | 333 E CITY AVE 2 BALA PLAZA
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City | BALA CYNWYD
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State | PA
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Zip | 19004-1501
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Country | US
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Telephone | 610-668-2777
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Fax | 610-668-1509
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Provider Business Mailing Address
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Address Line | 333 E CITY AVE 2 BALA PLAZA
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City | BALA CYNWYD
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State | PA
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Zip | 19004-1501
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Country | US
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Telephone | 610-668-2777
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Fax | 610-668-1509
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. HERBERT J NEVYAS
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Credential | M.D.
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Telephone | 610-668-2777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 14271500
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License Number State | PA
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