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General NPI Number Information
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NPI Number | 1750571162
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Entity Type | Individual
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Provider Name | SAMUEL RYAN HALPERN O. D.
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Gender | Male
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 200 BANNING ST STE 130
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City | DOVER
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State | DE
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Zip | 19904-3486
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Country | US
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Telephone | 302-678-1700
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Fax | 302-678-2330
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Provider Business Mailing Address
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Address Line | 200 BANNING ST STE 130
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City | DOVER
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State | DE
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Zip | 19904-3486
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Country | US
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Telephone | 302-450-3025
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Fax | 302-990-4441
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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 | I30001321
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License Number State | DE
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