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General NPI Number Information
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NPI Number | 1548363898
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Entity Type | Organization
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Legal Business Name | EYE ASSOCIATES
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Dates
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Enumeration Date | 09/05/2006
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Last Update Date | 11/09/2010
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Provider Practice Location Address
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Address Line | 700 HORIZON DR SUITE 204
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City | CHALFONT
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State | PA
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Zip | 18914-3906
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Country | US
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Telephone | 215-997-2015
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Fax | 215-997-8350
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Provider Business Mailing Address
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Address Line | 700 HORIZON DR SUITE 204
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City | CHALFONT
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State | PA
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Zip | 18914-3963
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Country | US
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Telephone | 215-997-2015
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Fax | 215-997-8350
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. MARY ELLEN BEAM
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Credential |
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Telephone | 215-997-2015
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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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