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General NPI Number Information
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NPI Number | 1447589015
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Entity Type | Organization
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Legal Business Name | DOWLING FAMILY EYE CARE P.C
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Dates
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Enumeration Date | 12/10/2009
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Last Update Date | 12/30/2009
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Provider Practice Location Address
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Address Line | 650 OLD WILLOW AVE STE. L
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City | HONESDALE
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State | PA
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Zip | 18431-4218
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Country | US
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Telephone | 570-251-9100
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Fax | 570-251-9926
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Provider Business Mailing Address
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Address Line | 650 OLD WILLOW AVE STE. L
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City | HONESDALE
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State | PA
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Zip | 18431-4218
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Country | US
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Telephone | 570-251-9100
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Fax | 570-251-9926
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | LISA DOWLING
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Credential | O.D.
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Telephone | 570-251-9100
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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 | OEG001391
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License Number State | PA
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