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General NPI Number Information
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NPI Number | 1679763148
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Entity Type | Organization
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Legal Business Name | THOMAS M LERRO LTD
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 3475 W CHESTER PIKE SUITE 180
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-4280
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Country | US
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Telephone | 610-356-6781
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Fax | 610-356-6781
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Provider Business Mailing Address
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Address Line | 3475 W CHESTER PIKE SUITE 180
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City | NEWTOWN SQUARE
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State | PA
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Zip | 19073-4280
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Country | US
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Telephone | 610-356-6781
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Fax | 610-356-6781
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MR. THOMAS M LERRO
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Credential |
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Telephone | 610-356-6781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | NA
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License Number State | PA
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