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General NPI Number Information
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NPI Number | 1427380237
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Entity Type | Organization
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Legal Business Name | DR. DOUGLAS E. GERZINA INC.
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Dates
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Enumeration Date | 02/03/2010
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Last Update Date | 02/03/2010
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Provider Practice Location Address
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Address Line | 922 FREEPORT RD
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City | PITTSBURGH
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State | PA
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Zip | 15238-3100
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Country | US
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Telephone | 412-782-3930
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Fax |
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Provider Business Mailing Address
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Address Line | 290 BECKETT RD
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City | KITTANNING
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State | PA
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Zip | 16201-3044
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Country | US
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Telephone | 724-545-3016
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Fax |
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | DR. DOUGLAS GERZINA
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Credential | O.D.
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Telephone | 724-545-3016
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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 | OET008812
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License Number State | PA
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