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General NPI Number Information
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NPI Number | 1588069884
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Entity Type | Organization
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Legal Business Name | OPHTHALMIC ASSOCIATES
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Dates
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Enumeration Date | 10/29/2014
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Last Update Date | 08/10/2020
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Provider Practice Location Address
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Address Line | 1318 EISENHOWER BLVD
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City | JOHNSTOWN
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State | PA
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Zip | 15904-3307
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Country | US
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Telephone | 814-266-5795
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Fax |
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Provider Business Mailing Address
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Address Line | 120 MAIN ST
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City | JOHNSTOWN
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State | PA
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Zip | 15901-1507
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Country | US
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Telephone | 814-536-5343
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Fax | 814-536-1525
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Authorized Official
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Title or Position | DIRECTOR / ADMINISTRATOR
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Name | MRS. APRIL SEES
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Credential |
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Telephone | 814-536-5343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | RN223895L
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License Number State | PA
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