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General NPI Number Information
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NPI Number | 1952572786
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Entity Type | Organization
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Legal Business Name | THOMAS P. WEBB
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 11/14/2010
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Provider Practice Location Address
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Address Line | 2318 GENESEE ST
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City | UTICA
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State | NY
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Zip | 13502-5810
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Country | US
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Telephone | 315-732-7121
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Fax | 315-732-5779
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Provider Business Mailing Address
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Address Line | 2318 GENESEE ST
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City | UTICA
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State | NY
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Zip | 13502-5810
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Country | US
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Telephone | 315-732-7121
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Fax | 315-732-5779
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. THOMAS P. WEBB
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Credential | O.D.
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Telephone | 315-732-7121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | TUV0032131
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License Number State | NY
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