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General NPI Number Information
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NPI Number | 1023220886
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Entity Type | Organization
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Legal Business Name | OGDEN VISION CENTER
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 10/31/2008
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Provider Practice Location Address
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Address Line | 3475 HARRISON BLVD
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City | OGDEN
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State | UT
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Zip | 84403-1230
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Country | US
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Telephone | 801-394-8885
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Fax | 801-394-8991
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Provider Business Mailing Address
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Address Line | 3475 HARRISON BLVD OGDEN VISION CENTER
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City | OGDEN
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State | UT
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Zip | 84403-1230
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Country | US
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Telephone | 801-394-8885
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Fax | 801-394-8991
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. GARY C SLAUGH
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Credential |
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Telephone | 801-394-8885
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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 |
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License Number State |
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