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General NPI Number Information
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NPI Number | 1992983399
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Entity Type | Organization
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Legal Business Name | DELCO FAMILY VISION CENTER INC.
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Dates
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Enumeration Date | 02/07/2008
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Last Update Date | 12/02/2013
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Provider Practice Location Address
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Address Line | 2179 MACDADE BLVD
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City | HOLMES
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State | PA
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Zip | 19043-1210
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Country | US
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Telephone | 610-237-8555
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Fax | 610-237-8556
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Provider Business Mailing Address
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Address Line | 2179 MACDADE BLVD
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City | HOLMES
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State | PA
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Zip | 19043-1210
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Country | US
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Telephone | 610-237-8555
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Fax | 610-237-8556
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD SCHILLING
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Credential |
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Telephone | 610-237-8555
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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 | OET008767
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License Number State | PA
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