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General NPI Number Information
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NPI Number | 1902823834
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Entity Type | Organization
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Legal Business Name | JEFFREY G HIRSCHL O D INC
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Dates
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Enumeration Date | 07/16/2006
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 8277 MARKET ST SUITE B
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City | BOARDMAN
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State | OH
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Zip | 44512-6246
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Country | US
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Telephone | 330-726-5544
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Fax | 330-758-3874
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Provider Business Mailing Address
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Address Line | 8277 MARKET ST
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City | BOARDMAN
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State | OH
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Zip | 44512-6255
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Country | US
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Telephone | 330-726-5544
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Fax | 330-758-3874
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY HIRSCHL
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Credential | O.D.
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Telephone | 330-726-5544
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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 | 3863
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License Number State | OH
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