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General NPI Number Information
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NPI Number | 1952122392
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Entity Type | Organization
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Legal Business Name | THOMAS S. BEAL, O.D. LLC
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Dates
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Enumeration Date | 10/18/2024
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 26300 CEDAR RD STE 2300
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City | BEACHWOOD
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State | OH
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Zip | 44122-1185
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Country | US
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Telephone | 216-378-9128
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Fax | 216-378-2684
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Provider Business Mailing Address
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Address Line | 36470 CARRIAGE LN
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City | WILLOUGHBY
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State | OH
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Zip | 44094-4175
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Country | US
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Telephone | 440-476-3756
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Fax | 216-378-2684
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS S BEAL
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Credential | OD
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Telephone | 440-476-3756
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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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