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General NPI Number Information
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NPI Number | 1700068608
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Entity Type | Organization
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Legal Business Name | PETER E SFORZA JR OD INC
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 12/03/2007
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Provider Practice Location Address
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Address Line | 514 N STATE ST
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City | GIRARD
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State | OH
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Zip | 44420-1745
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Country | US
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Telephone | 330-545-3000
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Fax | 330-545-5390
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Provider Business Mailing Address
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Address Line | 514 N STATE ST
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City | GIRARD
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State | OH
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Zip | 44420-1745
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Country | US
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Telephone | 330-545-3000
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Fax | 330-545-5390
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Authorized Official
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Title or Position | PRES
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Name | DR. PETER E SFORZA
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Credential | O.D.
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Telephone | 330-545-3000
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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 | 3968T1103
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License Number State | OH
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