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General NPI Number Information
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NPI Number | 1518122662
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Entity Type | Organization
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Legal Business Name | NISSMAN EYE ASSOCIATES, LLC
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Dates
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Enumeration Date | 07/28/2008
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Last Update Date | 12/22/2008
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Provider Practice Location Address
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Address Line | 699 W GERMANTOWN PIKE
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1073
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Country | US
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Telephone | 610-834-1800
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Fax | 610-834-1811
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Provider Business Mailing Address
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Address Line | 699 W GERMANTOWN PIKE
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City | PLYMOUTH MEETING
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State | PA
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Zip | 19462-1073
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Country | US
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Telephone | 610-834-1800
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Fax | 610-834-1811
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN A NISSMAN
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Credential | MD
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Telephone | 610-202-9663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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