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General NPI Number Information
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NPI Number | 1346455912
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Entity Type | Organization
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Legal Business Name | SHARON C. O'ROURKE, O.D. LLC
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/19/2013
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Provider Practice Location Address
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Address Line | 4745 CLAIRTON BLVD LOWER LEVEL NORTH
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City | PITTSBURGH
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State | PA
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Zip | 15236-2115
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Country | US
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Telephone | 412-892-9767
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Fax | 412-892-9768
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Provider Business Mailing Address
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Address Line | 4745 CLAIRTON BLVD LOWER LEVEL NORTH
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City | PITTSBURGH
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State | PA
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Zip | 15236-2115
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Country | US
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Telephone | 412-892-9767
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Fax | 412-892-9768
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Authorized Official
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Title or Position | OWNER
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Name | DR. SHARON C O'ROURKE HUBER
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Credential | OD
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Telephone | 412-892-9767
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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 | OEG000085
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License Number State | PA
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