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General NPI Number Information
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NPI Number | 1700066263
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Entity Type | Organization
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Legal Business Name | NATIONAL OPTOMETRY STEVEN KASINOF AND 17 ASSOCIATES OPTOMETRISTS
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 1437 SAMS DR #70
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4587
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Country | US
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Telephone | 757-548-4570
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Fax | 757-548-4573
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Provider Business Mailing Address
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Address Line | 1437 SAMS DR #70
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4587
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Country | US
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Telephone | 757-548-4570
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Fax | 757-548-4573
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Authorized Official
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Title or Position | O.D. / MANAGING MEMBER
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Name | DR. JAMES J WHITELOCK
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Credential | O.D.
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Telephone | 717-263-2389
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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 | 0603000170
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License Number State | VA
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