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General NPI Number Information
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NPI Number | 1912110982
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Entity Type | Organization
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Legal Business Name | TRI-COUNTY EYE PHYSICIANS & SURGEONS PC
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 10/30/2017
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Provider Practice Location Address
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Address Line | 352 E BUTLER AVE RT 202
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City | NEW BRITAIN
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State | PA
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Zip | 18901-5209
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Country | US
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Telephone | 215-396-4218
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Fax | 215-230-9994
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Provider Business Mailing Address
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Address Line | 352 E BUTLER AVE RT 202
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City | NEW BRITAIN
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State | PA
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Zip | 18901-5209
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Country | US
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Telephone | 215-396-4218
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Fax | 215-230-9994
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Authorized Official
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Title or Position | OPTICAL SERVICES MANAGER
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Name | DARLA YEAGER
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Credential | ABOC
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Telephone | 215-230-7666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 6000006763
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License Number State | PA
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