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General NPI Number Information
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NPI Number | 1942230735
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Entity Type | Organization
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Legal Business Name | EMMAUS EYE CARE
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 903 CHESTNUT ST
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City | EMMAUS
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State | PA
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Zip | 18049-2021
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Country | US
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Telephone | 610-966-9600
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Fax | 610-966-9660
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Provider Business Mailing Address
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Address Line | 903 CHESTNUT ST
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City | EMMAUS
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State | PA
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Zip | 18049-2021
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Country | US
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Telephone | 610-966-9600
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Fax | 610-966-9660
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBRA A LEHR
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Credential | OD
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Telephone | 610-966-9600
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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 | OEG0000407PA
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License Number State | PA
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