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General NPI Number Information
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NPI Number | 1972006427
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Entity Type | Organization
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Legal Business Name | DR MARTOCCI AND ASSOCIATES, LLC
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 03/12/2018
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Provider Practice Location Address
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Address Line | 2804 WALBERT AVE
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City | ALLENTOWN
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State | PA
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Zip | 18104-2400
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Country | US
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Telephone | 610-439-3937
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Fax | 610-439-0215
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Provider Business Mailing Address
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Address Line | 2804 WALBERT AVE
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City | ALLENTOWN
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State | PA
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Zip | 18104-2400
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Country | US
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Telephone | 610-439-3937
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Fax | 610-439-0215
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Authorized Official
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Title or Position | OWNER/MEMBER
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Name | MONICA MARTOCCI
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Credential | OD
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Telephone | 610-217-2184
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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 | OEG001107
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License Number State | PA
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