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General NPI Number Information
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NPI Number | 1427500651
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Entity Type | Organization
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Legal Business Name | NEURO OPTOMETRY ASSOCIATES OF WARMINSTER LLC
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Dates
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Enumeration Date | 11/04/2016
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Last Update Date | 11/04/2016
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Provider Practice Location Address
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Address Line | 100 E STREET RD VISION CENTER IN WAL MART
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City | WARMINSTER
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State | PA
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Zip | 18974-3400
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Country | US
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Telephone | 215-293-9015
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Fax | 215-565-2572
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Provider Business Mailing Address
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Address Line | 3225 COLONIAL RD
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City | HATBORO
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State | PA
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Zip | 19040-1633
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Country | US
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Telephone | 631-512-2063
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Fax | 215-565-2572
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Authorized Official
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Title or Position | OPTOMETRIST SOLE OWNER
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Name | DR. MICHAEL D KATZ
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Credential | OD
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Telephone | 631-512-2063
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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 | OEG002574
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License Number State | PA
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