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General NPI Number Information
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NPI Number | 1912940776
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Entity Type | Organization
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Legal Business Name | MAYER OPTICAL
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 12/14/2007
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Provider Practice Location Address
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Address Line | 27 BLACKSMITH RD STE 202
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City | NEWTOWN
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State | PA
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Zip | 18940-1870
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Country | US
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Telephone | 215-497-1001
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Fax | 215-497-0490
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Provider Business Mailing Address
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Address Line | 727 CHESTNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19106-2315
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Country | US
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Telephone | 215-922-3090
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES DONAGHY
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Credential |
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Telephone | 215-922-3090
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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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