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General NPI Number Information
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NPI Number | 1386654044
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Entity Type | Organization
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Legal Business Name | BARCO OPTICAL, INC.
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2536 WELSH RD
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City | PHILADELPHIA
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State | PA
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Zip | 19152-1403
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Country | US
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Telephone | 215-671-8000
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Fax | 215-671-1108
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Provider Business Mailing Address
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Address Line | 2536 WELSH RD
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City | PHILADELPHIA
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State | PA
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Zip | 19152-1403
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Country | US
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Telephone | 215-671-8000
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Fax | 215-671-1108
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. BRUCE A RUBIN
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Credential |
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Telephone | 215-671-8000
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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 | 04808P
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License Number State | PA
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