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General NPI Number Information
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NPI Number | 1447496021
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Entity Type | Organization
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Legal Business Name | MICHAEL D TINKELMAN OD PC
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Dates
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Enumeration Date | 01/02/2009
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Last Update Date | 04/24/2009
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Provider Practice Location Address
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Address Line | 1090 ZION RD
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City | BELLEFONTE
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State | PA
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Zip | 16823-2511
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Country | US
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Telephone | 814-355-7566
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Fax | 814-355-7567
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Provider Business Mailing Address
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Address Line | 1090 ZION RD
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City | BELLEFONTE
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State | PA
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Zip | 16823-2511
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Country | US
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Telephone | 814-355-7566
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Fax | 814-355-7567
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Authorized Official
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Title or Position | INCORPORATOR
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Name | DR. MICHAEL D TINKELMAN
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Credential | O.D.
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Telephone | 814-355-7566
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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 | OEG000753
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License Number State | PA
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