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General NPI Number Information
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NPI Number | 1831369669
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Entity Type | Organization
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Legal Business Name | JOHN P. BOSCIA, OD
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 02/27/2013
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Provider Practice Location Address
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Address Line | 2020 SULLIVAN TRL
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City | EASTON
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State | PA
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Zip | 18040-8354
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Country | US
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Telephone | 610-258-6666
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Fax |
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Provider Business Mailing Address
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Address Line | 2020 SULLIVAN TRL
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City | EASTON
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State | PA
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Zip | 18040-8354
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Country | US
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Telephone | 610-258-6666
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN PAUL BOSCIA
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Credential | OD
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Telephone | 610-258-6666
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | OEG000704
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License Number State | PA
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