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General NPI Number Information
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NPI Number | 1407844616
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Entity Type | Individual
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Provider Name | SANDFORD CHARLES FRISCH MD
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Gender | Male
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 11/18/2009
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Provider Practice Location Address
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Address Line | 2207 OREGON PIKE SUITE 102
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City | LANCASTER
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State | PA
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Zip | 17601-4606
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Country | US
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Telephone | 717-569-0600
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Fax | 717-569-4562
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Provider Business Mailing Address
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Address Line | 2207 OREGON PIKE SUITE 102
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City | LANCASTER
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State | PA
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Zip | 17601-4606
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Country | US
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Telephone | 717-569-0600
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Fax | 717-569-4562
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD042342E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 6000006421
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License Number State | PA
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