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General NPI Number Information
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NPI Number | 1538167168
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Entity Type | Individual
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Provider Name | TODD ARTHUR ROBERT O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2005
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Last Update Date | 10/08/2007
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Provider Practice Location Address
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Address Line | 3800 HIGHLAND AVE STE. 100
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1557
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Country | US
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Telephone | 630-960-0456
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Fax | 630-960-9521
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Provider Business Mailing Address
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Address Line | 3800 HIGHLAND AVE STE. 100
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1557
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Country | US
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Telephone | 630-960-0456
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Fax | 630-960-9521
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 467829
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License Number State | IL
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