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General NPI Number Information
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NPI Number | 1457541096
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Entity Type | Organization
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Legal Business Name | SHREWSBURY VISION CARE INC
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 12/14/2009
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Provider Practice Location Address
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Address Line | 14625 MT AIRY ROAD SUITE 109
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City | SHREWSBURY
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State | PA
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Zip | 17361-1435
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Country | US
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Telephone | 717-227-2030
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Fax | 717-227-2031
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Provider Business Mailing Address
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Address Line | 14625 MOUNT AIRY RD SUITE 109
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City | SHREWSBURY
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State | PA
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Zip | 17361-1431
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Country | US
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Telephone | 717-227-2030
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Fax | 717-227-2031
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN THOMAS KARDOS
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Credential | OD
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Telephone | 717-227-2030
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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 | OE6897P
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License Number State | PA
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