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General NPI Number Information
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NPI Number | 1346630340
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Entity Type | Organization
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Legal Business Name | GALLERY EYE ASSOCIATES, LLC
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Dates
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Enumeration Date | 01/28/2015
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 931 ARCH ST FL 1
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City | PHILADELPHIA
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State | PA
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Zip | 19107-2433
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Country | US
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Telephone | 215-925-9830
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Fax | 215-925-0792
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Provider Business Mailing Address
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Address Line | 931 ARCH ST FL 1
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City | PHILADELPHIA
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State | PA
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Zip | 19107-2433
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Country | US
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Telephone | 215-925-9830
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Fax | 215-925-0792
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. DAT DUONG
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Credential | OD
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Telephone | 215-925-9830
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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 | OEG000507
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License Number State | PA
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