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General NPI Number Information
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NPI Number | 1851569875
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Entity Type | Organization
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Legal Business Name | B. DOTY VISION CARE, INC.
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 112 JONES DR
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City | MC MURRAY
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State | PA
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Zip | 15317-2920
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Country | US
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Telephone | 724-941-9420
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Fax |
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Provider Business Mailing Address
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Address Line | 112 JONES DR
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City | MC MURRAY
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State | PA
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Zip | 15317-2920
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Country | US
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Telephone |
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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. MICHAEL A MAGISKE
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Credential | O.D.
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Telephone | 724-941-9420
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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 |
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License Number State |
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