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NPI 1730292046

NPI 1730292046 : THOMAS M BRITTON OD : BUCYRUS, OH

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General NPI Number Information
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    NPI Number           |    1730292046
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    Entity Type          |    Individual 
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    Provider Name        |    THOMAS M BRITTON OD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/17/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1650 E MANSFIELD ST 
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    City                 |    BUCYRUS
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    State                |    OH
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    Zip                  |    44820-2014
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    Country              |    US
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    Telephone            |    419-562-0744
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    Fax                  |    419-562-3861
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Provider Business Mailing Address
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    Address Line         |    1650 E MANSFIELD ST PO BOX 744
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    City                 |    BUCYRUS
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    State                |    OH
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    Zip                  |    44820-2014
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    Country              |    US
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    Telephone            |    419-562-0744
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    Fax                  |    419-562-3861
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    4086
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    License Number State |    OH
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