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General NPI Number Information
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NPI Number | 1801053566
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Entity Type | Organization
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Legal Business Name | HESS FAMILY EYE CARE, PC
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 423 E MAIN ST
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City | MIDDLEBURG
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State | PA
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Zip | 17842-1215
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Country | US
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Telephone | 570-837-0112
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Fax |
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Provider Business Mailing Address
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Address Line | 423 E MAIN ST
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City | MIDDLEBURG
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State | PA
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Zip | 17842-1215
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Country | US
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Telephone | 570-837-0112
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/OPTOMETRIST
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Name | DR. NICHOLAS A HESS
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Credential | O.D.
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Telephone | 570-837-0112
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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 | OEG001925
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License Number State | PA
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