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General NPI Number Information
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NPI Number | 1730454125
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Entity Type | Organization
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Legal Business Name | STANCHEL EYE ASSOCIATES, L.L.C.
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 2400 FIVE LEES LANE INSIDE COSTCO OPTICAL
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City | LANHAM
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State | MD
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Zip | 20706-1617
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Country | US
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Telephone | 301-341-6753
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 FIVE LEES LANE INSIDE COSTCO OPTICAL
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City | LANHAM
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State | MD
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Zip | 20706-1617
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALIZZI J STANCHEL
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Credential | OD
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Telephone | 301-341-6753
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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 | TA-2082
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License Number State | MD
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