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General NPI Number Information
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NPI Number | 1922197797
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Entity Type | Organization
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Legal Business Name | RONALD W DOWNING OD
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 07/01/2008
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Provider Practice Location Address
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Address Line | 135 S KENNEBEC AVE
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City | MC CONNELSVILLE
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State | OH
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Zip | 43756-1211
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Country | US
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Telephone | 740-962-4567
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Fax | 740-962-3473
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Provider Business Mailing Address
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Address Line | 135 S KENNEBEC AVE
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City | MC CONNELSVILLE
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State | OH
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Zip | 43756-1211
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Country | US
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Telephone | 740-962-4567
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Fax | 740-962-3473
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Authorized Official
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Title or Position | OWNER
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Name | MR. RONALD W DOWNING
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Credential | OD
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Telephone | 740-962-4567
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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 | 2929
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License Number State | OH
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