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General NPI Number Information
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NPI Number | 1760626568
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Entity Type | Organization
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Legal Business Name | DR. JOSEPH CHATFIELD, LLC
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 03/05/2010
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Provider Practice Location Address
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Address Line | 3600 E US HIGHWAY 22 AND 3
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City | MORROW
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State | OH
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Zip | 45152-9688
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Country | US
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Telephone | 513-899-2015
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Fax | 513-899-4628
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Provider Business Mailing Address
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Address Line | 3600 E US HIGHWAY 22 AND 3
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City | MORROW
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State | OH
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Zip | 45152-9688
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Country | US
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Telephone | 513-899-2015
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Fax | 513-899-4628
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. JOSEPH F. CHATFIELD JR.
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Credential | O.D.
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Telephone | 513-899-2015
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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 | 3711/T905
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License Number State | OH
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