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NPI 1992861702

NPI 1992861702 : CIANFLONE OPTOMETRY, LLC : PITTSBURGH, PA

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General NPI Number Information
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    NPI Number           |    1992861702
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    Entity Type          |    Organization 
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    Legal Business Name  |    CIANFLONE OPTOMETRY, LLC 
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Dates
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    Enumeration Date     |    12/28/2006
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    Last Update Date     |    01/25/2018
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Provider Practice Location Address
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    Address Line         |    71 OLD CLAIRTON ROAD 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15236-3916
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    Country              |    US
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    Telephone            |    412-653-0277
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    Fax                  |    412-653-1141
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Provider Business Mailing Address
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    Address Line         |    71 OLD CLAIRTON ROAD 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15236-3916
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    Country              |    US
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    Telephone            |    412-653-0277
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    Fax                  |    412-653-1141
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Authorized Official
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    Title or Position    |    OD/OWNER
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    Name                 |    DR. JEFFREY PAUL CIANFLONE 
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    Credential           |    OD
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    Telephone            |    412-653-0277
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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       |    OE007120T
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    OEG000981
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    License Number State |    PA
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