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General NPI Number Information
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NPI Number | 1689864431
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Entity Type | Organization
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Legal Business Name | BLUE RIDGE EYE SPECIALISTS, P.C.
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 09/17/2012
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Provider Practice Location Address
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Address Line | 56 CHESTER ST
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City | FRONT ROYAL
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State | VA
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Zip | 22630-3391
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Country | US
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Telephone | 540-635-3300
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Fax | 540-636-6215
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Provider Business Mailing Address
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Address Line | 420 W JUBAL EARLY DR SUITE 200
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City | WINCHESTER
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State | VA
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Zip | 22601-6434
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Country | US
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Telephone | 540-662-2700
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Fax | 540-662-8801
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN J FINK
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Credential | MD
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Telephone | 540-662-2700
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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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