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General NPI Number Information
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NPI Number | 1518161413
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Entity Type | Organization
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Legal Business Name | ARTHUR O. DUPPSTADT P.C.
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 10/13/2012
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Provider Practice Location Address
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Address Line | 84 2ND ST
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City | LEECHBURG
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State | PA
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Zip | 15656-1345
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Country | US
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Telephone | 724-845-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 84 2ND ST
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City | LEECHBURG
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State | PA
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Zip | 15656-1345
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Country | US
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Telephone | 724-845-7777
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARTHUR ORLO DUPPSTADT
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Credential | O.D.
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Telephone | 724-845-7777
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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 | OEG001288
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License Number State | PA
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