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General NPI Number Information
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NPI Number | 1508977687
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Entity Type | Organization
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Legal Business Name | BRIT OPTICAL INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 13020 BUSTLETON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19116-1651
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Country | US
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Telephone | 215-673-1267
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Fax | 215-676-7085
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Provider Business Mailing Address
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Address Line | 13020 BUSTLETON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19116-1651
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Country | US
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Telephone | 215-673-1267
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Fax | 215-676-7085
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Authorized Official
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Title or Position | OPTICIAN SECRETARY
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Name | MR. JEFFREY PONT
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Credential |
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Telephone | 215-673-1267
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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 | OD1321
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License Number State | NJ
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