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General NPI Number Information
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NPI Number | 1588149843
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Entity Type | Individual
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Provider Name | JASON NING OD
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Gender | Male
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 5201 HAMILTON BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18106-9113
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Country | US
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Telephone | 610-366-1343
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Fax | 610-366-1343
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Provider Business Mailing Address
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Address Line | 5201 HAMILTON BLVD
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City | ALLENTOWN
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State | PA
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Zip | 18106-9113
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Country | US
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Telephone | 610-530-4444
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Fax | 610-366-1343
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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 | TUV008890-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 27OA00683700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG003484
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License Number State | PA
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