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NPI 1407812076

NPI 1407812076 : CHESTER COUNTY OPTICIANS, INC : DOWNINGTOWN, PA

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General NPI Number Information
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    NPI Number           |    1407812076
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHESTER COUNTY OPTICIANS, INC 
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Dates
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    Enumeration Date     |    04/24/2006
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    Last Update Date     |    10/22/2013
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Provider Practice Location Address
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    Address Line         |    3921 W LINCOLN HWY CALN VILLAGE SHOPPING CENTER
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    City                 |    DOWNINGTOWN
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    State                |    PA
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    Zip                  |    19335-5502
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    Country              |    US
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    Telephone            |    610-269-9595
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    Fax                  |    610-269-9613
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Provider Business Mailing Address
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    Address Line         |    3921 W LINCOLN HWY CALN VILLAGE SHOPPING CENTER
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    City                 |    DOWNINGTOWN
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    State                |    PA
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    Zip                  |    19335-5502
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    Country              |    US
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    Telephone            |    610-269-9595
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    Fax                  |    610-269-9613
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ROBERT W STRATTON 
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    Credential           |    
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    Telephone            |    610-692-5019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332H00000X
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    Taxonomy Name        |    Eyewear Supplier
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    License Number       |    
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    License Number State |    
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