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General NPI Number Information
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NPI Number | 1720286438
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Entity Type | Organization
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Legal Business Name | WILLIAM J. DIMINO, O.D., P.C.
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 503 W GERMANTOWN PIKE
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City | NORRISTOWN
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State | PA
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Zip | 19403-4231
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Country | US
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Telephone | 610-313-3191
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Fax | 610-313-3193
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Provider Business Mailing Address
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Address Line | 503 W GERMANTOWN PIKE
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City | NORRISTOWN
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State | PA
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Zip | 19403-4231
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Country | US
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Telephone | 610-313-3191
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Fax | 610-313-3193
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DEBORAH J. DIMINO
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Credential |
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Telephone | 610-313-3191
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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 | OEG000158
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License Number State | PA
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