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General NPI Number Information
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NPI Number | 1447242524
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Entity Type | Organization
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Legal Business Name | R D OPTICAL CO
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 07/28/2010
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Provider Practice Location Address
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Address Line | 3921 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44484-4711
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Country | US
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Telephone | 330-856-6873
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Fax | 330-856-4539
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Provider Business Mailing Address
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Address Line | 3921 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44484-4711
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Country | US
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Telephone | 330-856-6873
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Fax | 330-856-4539
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Authorized Official
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Title or Position | OWNER
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Name | DR. FRANK D'APOLITO
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Credential | O.D.
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Telephone | 330-856-6873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 78 044188
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License Number State | OH
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