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General NPI Number Information
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NPI Number | 1881431781
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Entity Type | Organization
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Legal Business Name | MATTHEW ALBIN OD LLC
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Dates
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Enumeration Date | 07/09/2024
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 113 E LAKE ST STE 113-1
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1144
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Country | US
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Telephone | 630-418-1819
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Fax |
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Provider Business Mailing Address
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Address Line | 113 E LAKE ST STE 113-1
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1144
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Country | US
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Telephone | 630-326-8632
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Fax | 630-326-8717
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Authorized Official
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Title or Position | MANAGER
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Name | DR. MATTHEW ALBIN
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Credential | OD
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Telephone | 630-418-1819
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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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