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General NPI Number Information
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NPI Number | 1790950764
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Entity Type | Organization
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Legal Business Name | BINOCULAR VISION CENTER
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 426 MAIN ST
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City | HARLEYSVILLE
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State | PA
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Zip | 19438-2350
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Country | US
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Telephone | 215-257-9704
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Fax | 215-256-9931
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Provider Business Mailing Address
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Address Line | 426 MAIN ST
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City | HARLEYSVILLE
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State | PA
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Zip | 19438-2350
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Country | US
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Telephone | 215-256-9704
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Fax | 215-256-9931
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LINDA MORRIS
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Credential |
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Telephone | 215-156-9704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | OEG001428
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License Number State | PA
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