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General NPI Number Information
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NPI Number | 1952638868
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Entity Type | Organization
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Legal Business Name | VALLEY EYE CARE CENTER LLC
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Dates
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Enumeration Date | 11/13/2009
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Last Update Date | 11/13/2009
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Provider Practice Location Address
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Address Line | 1601 SYCAMORE RD SUITE 2A
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City | MONTOURSVILLE
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State | PA
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Zip | 17754-9305
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Country | US
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Telephone | 570-323-6105
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Fax | 570-323-4820
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Provider Business Mailing Address
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Address Line | 1601 SYCAMORE RD SUITE 2A
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City | MONTOURSVILLE
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State | PA
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Zip | 17754-9305
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Country | US
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Telephone | 570-323-6105
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Fax | 570-323-4820
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Authorized Official
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Title or Position | OWNER
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Name | DR. MUSA A HINDI
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Credential | M.D.
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Telephone | 570-323-6105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD038984E
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License Number State | PA
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