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General NPI Number Information
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NPI Number | 1396878765
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Entity Type | Organization
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Legal Business Name | THOMAS TURTLE OPTICIANS INC.
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 12/13/2007
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Provider Practice Location Address
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Address Line | 444 PAYNE AVE
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-6902
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Country | US
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Telephone | 716-693-1280
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Fax | 716-693-1383
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Provider Business Mailing Address
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Address Line | 444 PAYNE AVE P.O. BOX 830
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-6902
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Country | US
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Telephone | 716-693-1280
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Fax | 716-693-1383
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID T TURTLE
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Credential | O.D.
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Telephone | 716-693-1280
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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 | NY5265
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License Number State | NY
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