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General NPI Number Information
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NPI Number | 1417441692
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Entity Type | Organization
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Legal Business Name | BLUE BELL EYE CARE & SURGERY, P.C.
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Dates
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Enumeration Date | 06/20/2018
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 686 DEKALB PIKE STE 202
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City | BLUE BELL
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State | PA
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Zip | 19422-1258
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Country | US
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Telephone | 610-492-2020
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Fax | 610-492-2021
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Provider Business Mailing Address
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Address Line | 1045 OAK RIDGE DR
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City | BLUE BELL
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State | PA
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Zip | 19422-3003
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Country | US
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Telephone | 610-492-2020
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Fax | 610-492-2021
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Authorized Official
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Title or Position | OWNER, BLUE BELL EYE CARE & SURGERY
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Name | DEEPAK PARKASH GROVER
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Credential | DO
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Telephone | 610-492-2020
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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 |
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License Number State |
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