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General NPI Number Information
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NPI Number | 1568559136
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Entity Type | Individual
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Provider Name | PAMELA A HOUGHTON O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 20245 ROUTE 19
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-6101
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Country | US
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Telephone | 724-772-4557
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Fax |
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Provider Business Mailing Address
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Address Line | 10522 MEINERT RD
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City | WEXFORD
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State | PA
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Zip | 15090-9564
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Country | US
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Telephone |
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Fax |
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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 | OEG001300
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License Number State | PA
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