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General NPI Number Information
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NPI Number | 1427176171
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Entity Type | Organization
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Legal Business Name | GUZZETTI OPTOMETRIC SERVICES, P.C.
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 212 STATE AVE
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City | BEAVER
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State | PA
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Zip | 15009-1728
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Country | US
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Telephone | 724-774-7559
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Fax | 724-774-6557
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Provider Business Mailing Address
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Address Line | 212 STATE AVE
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City | BEAVER
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State | PA
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Zip | 15009-1728
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Country | US
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Telephone | 724-774-7559
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Fax | 724-774-6557
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN A. GUZZETTI
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Credential | O.D.
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Telephone | 724-774-7559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OEG001533
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License Number State | PA
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