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General NPI Number Information
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NPI Number | 1538313291
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Entity Type | Organization
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Legal Business Name | LENS-TECH, INC.
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Dates
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Enumeration Date | 11/07/2008
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Last Update Date | 11/07/2008
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Provider Practice Location Address
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Address Line | 41 S FRANKLIN ST
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City | DU BOIS
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State | PA
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Zip | 15801-1801
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Country | US
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Telephone | 814-375-5250
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Fax | 814-375-5524
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Provider Business Mailing Address
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Address Line | 41 S FRANKLIN ST P. O. BOX 426
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City | DU BOIS
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State | PA
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Zip | 15801-1801
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Country | US
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Telephone | 814-375-5250
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Fax | 814-375-5524
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Authorized Official
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Title or Position | SECRETARY OF CORPORATION
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Name | MRS. SUE ELLEN RUGH
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Credential |
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Telephone | 814-375-5250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 6000003210
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License Number State | PA
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