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General NPI Number Information
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NPI Number | 1396918470
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Entity Type | Individual
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Provider Name | FRANCIS EDWARD PETRUS
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Gender | Male
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Dates
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Enumeration Date | 04/09/2008
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 1520 S MAIN ST
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City | DAYTON
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State | OH
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Zip | 45409-2698
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Country | US
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Telephone | 937-223-1279
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Fax |
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Provider Business Mailing Address
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Address Line | 4219 PLEASANTON RD
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City | ENGLEWOOD
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State | OH
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Zip | 45322-2657
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Country | US
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Telephone | 937-836-2167
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FC0801X
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Taxonomy Name | Contact Lens Fitter
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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