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General NPI Number Information
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NPI Number | 1497053300
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Entity Type | Organization
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Legal Business Name | NORTH AMERICAN RX I WEAR INC
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Dates
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Enumeration Date | 03/02/2011
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Last Update Date | 10/29/2014
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Provider Practice Location Address
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Address Line | 1200 W GODFREY AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19141-3323
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Country | US
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Telephone | 215-276-6040
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Fax | 215-279-6151
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Provider Business Mailing Address
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Address Line | 3959 VAN DYKE RD # 225
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City | LUTZ
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State | FL
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Zip | 33558-8025
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Country | US
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Telephone | 813-598-7884
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Fax | 813-909-7790
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HARRIS I SOLKIN
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Credential |
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Telephone | 813-598-7884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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