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General NPI Number Information
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NPI Number | 1841135951
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Entity Type | Organization
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Legal Business Name | ADVANCED DRY EYE AND AESTHETICS CENTER PC
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 1251 S CEDAR CREST BLVD STE 112
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City | ALLENTOWN
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State | PA
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Zip | 18103-6254
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Country | US
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Telephone | 610-820-6320
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Fax | 610-820-8376
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Provider Business Mailing Address
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Address Line | 1251 S CEDAR CREST BLVD STE 307
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City | ALLENTOWN
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State | PA
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Zip | 18103-6214
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Country | US
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Telephone | 610-820-6320
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Fax | 610-820-8376
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Authorized Official
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Title or Position | PRESIDENT
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Name | MASAYUKI KAZAHAYA
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Credential | MD
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Telephone | 610-969-7505
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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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