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General NPI Number Information
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NPI Number | 1437395852
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Entity Type | Organization
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Legal Business Name | ALLE-KISKI EYE CARE INC.
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 1423 PITTSBURGH ST
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City | CHESWICK
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State | PA
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Zip | 15024-1448
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Country | US
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Telephone | 724-274-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 1423 PITTSBURGH ST
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City | CHESWICK
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State | PA
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Zip | 15024-1448
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Country | US
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Telephone | 724-274-8383
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. COLLETTE QUINTEN
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Credential |
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Telephone | 724-274-8383
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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 |
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License Number State |
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