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General NPI Number Information
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NPI Number | 1639271166
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Entity Type | Individual
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Provider Name | JEFFREY S FILANDRO O.D.
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Gender | Male
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Dates
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Enumeration Date | 09/04/2006
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 401 E MAIN ST STE A ASHLEY PLAZA
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City | MIDDLETOWN
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State | DE
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Zip | 19709-1491
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Country | US
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Telephone | 302-378-8818
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Fax | 302-378-2371
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Provider Business Mailing Address
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Address Line | 514 WAKE FOREST DR ACADEMY HILL
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City | NEWARK
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State | DE
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Zip | 19713-1197
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Country | US
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Telephone | 302-266-7110
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Fax | 302-378-2371
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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 | DE 1240
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License Number State | DE
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