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General NPI Number Information
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NPI Number | 1356873285
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Entity Type | Organization
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Legal Business Name | CORNEA & CONTACT LENS ASSOCIATES
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Dates
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Enumeration Date | 03/30/2017
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Last Update Date | 03/30/2017
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Provider Practice Location Address
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Address Line | 6518 ROUTE 22 STE 456
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City | DELMONT
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State | PA
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Zip | 15626-2410
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Country | US
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Telephone | 724-468-8877
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Fax | 724-468-0029
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Provider Business Mailing Address
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Address Line | 114 CHAPEL VIEW DR
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City | GREENSBURG
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State | PA
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Zip | 15601-1002
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Country | US
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Telephone | 443-610-1109
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JASON A LUDWIG
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Credential | OD
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Telephone | 443-610-1109
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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 | OEG002585
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License Number State | PA
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