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General NPI Number Information
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NPI Number | 1578655296
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Entity Type | Organization
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Legal Business Name | ADVANCED EYE CARE PC
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 168 W RIDGE PIKE SUITE 202
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City | LIMERICK
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State | PA
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Zip | 19468-1778
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Country | US
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Telephone | 610-489-8786
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Fax | 610-489-6544
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Provider Business Mailing Address
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Address Line | 168 W RIDGE PIKE SUITE 202
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City | LIMERICK
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State | PA
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Zip | 19468-1778
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Country | US
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Telephone | 610-489-8786
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Fax | 610-489-6544
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Authorized Official
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Title or Position | PRESIDENT
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Name | DENISE M MERCER
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Credential | O.D.
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Telephone | 610-489-8786
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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 |
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License Number State |
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