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General NPI Number Information
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NPI Number | 1770752669
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Entity Type | Organization
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Legal Business Name | ANTHONY J. CALLAN O.D., L.L.C.
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 65 N 3RD ST
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City | EASTON
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State | PA
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Zip | 18042-3642
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Country | US
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Telephone | 610-253-6911
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Fax | 610-253-8945
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Provider Business Mailing Address
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Address Line | 65 N 3RD ST
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City | EASTON
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State | PA
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Zip | 18042-3642
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Country | US
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Telephone | 610-253-6911
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Fax | 610-253-8945
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ANTHONY JOHN CALLAN
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Credential | O.D., M.S.
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Telephone | 610-253-6911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | OEG001216
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License Number State | PA
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