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General NPI Number Information
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NPI Number | 1932591831
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Entity Type | Organization
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Legal Business Name | DRS. SEHY AND JONES OPTOMETRISTS P.C.
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 104 OAK ST SUITE A
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City | PANA
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State | IL
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Zip | 62557-1580
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Country | US
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Telephone | 217-562-2672
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Fax |
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Provider Business Mailing Address
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Address Line | 303 N KELLER DR
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City | EFFINGHAM
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State | IL
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Zip | 62401-1859
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Country | US
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Telephone | 217-342-2672
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Fax |
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Authorized Official
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Title or Position | DOCTOR/PRESIDENT
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Name | DR. ROBERT W. JONES
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Credential | O.D.
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Telephone | 217-342-2672
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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 | 060001914
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License Number State | IL
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