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General NPI Number Information
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NPI Number | 1881963874
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Entity Type | Organization
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Legal Business Name | YARDLEY VISION CARE INC
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Dates
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Enumeration Date | 12/20/2011
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Last Update Date | 02/07/2012
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Provider Practice Location Address
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Address Line | 1790 YARDLEY LANGHORNE RD SUITE 101
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City | YARDLEY
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State | PA
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Zip | 19067-5523
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Country | US
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Telephone | 215-493-1924
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Fax | 215-493-9805
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Provider Business Mailing Address
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Address Line | 1790 YARDLEY LANGHORNE RD SUITE 101
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City | YARDLEY
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State | PA
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Zip | 19067-5523
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Country | US
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Telephone | 215-493-1924
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Fax | 215-493-9805
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHEILA COE MAISEL
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Credential | OD
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Telephone | 214-493-1924
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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 | OE008487T
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License Number State | PA
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