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General NPI Number Information
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NPI Number | 1942512462
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Entity Type | Individual
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Provider Name | COLLEEN MARIE BRESSLER O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/13/2010
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Last Update Date | 09/04/2013
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Provider Practice Location Address
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Address Line | 5256 ROUTE 30
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City | GREENSBURG
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State | PA
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Zip | 15601-7751
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Country | US
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Telephone | 724-837-1999
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Fax |
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Provider Business Mailing Address
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Address Line | 820 CASTLEVIEW DR
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City | NORTH HUNTINGDON
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State | PA
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Zip | 15642-8759
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Country | US
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Telephone | 412-860-2107
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | OEG002347
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License Number State | PA
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