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General NPI Number Information
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NPI Number | 1649239526
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Entity Type | Individual
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Provider Name | MARY DRUMMOND-ECK O.D.
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Gender | Female
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 327 BLUE VALLEY DR
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City | BANGOR
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State | PA
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Zip | 18013-1526
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Country | US
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Telephone | 610-599-6220
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Fax | 610-599-6218
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Provider Business Mailing Address
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Address Line | 401 MAIN ST
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City | STOCKERTOWN
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State | PA
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Zip | 18083-7004
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Country | US
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Telephone | 610-599-6220
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Fax | 610-599-6218
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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 | OET009092
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License Number State | PA
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