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General NPI Number Information
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NPI Number | 1366480097
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Entity Type | Organization
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Legal Business Name | TWER OPHTHALMOLOGY ASSOC., P.C.
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 07/27/2016
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Provider Practice Location Address
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Address Line | 7900 BUSTLETON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19152-3303
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Country | US
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Telephone | 215-742-7474
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Fax |
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Provider Business Mailing Address
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Address Line | 7900 BUSTLETON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19152-3303
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Country | US
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Telephone | 215-742-7474
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALAN JEFFREY TWER
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Credential | M.D.
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Telephone | 215-742-7474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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