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General NPI Number Information
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NPI Number | 1982477006
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Entity Type | Organization
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Legal Business Name | CHESTNUT HILL EYE ASSOCIATES, INC
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Dates
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Enumeration Date | 10/31/2023
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 12 E HIGHLAND AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19118-3308
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Country | US
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Telephone | 267-297-7723
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Fax | 267-277-7790
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Provider Business Mailing Address
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Address Line | 12 E HIGHLAND AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19118
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Country | US
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Telephone | 267-297-7723
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Fax | 267-277-7790
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Authorized Official
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Title or Position | OWNER
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Name | IRENE MUSTEN
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Credential | OD
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Telephone | 267-297-7723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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