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General NPI Number Information
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NPI Number | 1407805740
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Entity Type | Organization
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Legal Business Name | VALLEY PRIMARY EYE CARE PC
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Dates
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Enumeration Date | 05/06/2006
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 1088 HOWERTOWN RD
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City | CATASAUQUA
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State | PA
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Zip | 18032-1615
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Country | US
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Telephone | 610-264-4664
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Fax | 610-264-5202
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Provider Business Mailing Address
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Address Line | 1088 HOWERTOWN RD
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City | CATASAUQUA
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State | PA
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Zip | 18032-1615
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Country | US
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Telephone | 610-264-4664
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Fax | 610-264-5202
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID HARAKAL
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Credential | O.D.
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Telephone | 610-264-4664
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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 | OEG000181
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License Number State | PA
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