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General NPI Number Information
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NPI Number | 1023433307
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Entity Type | Organization
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Legal Business Name | MULTI VISION SERVICES LLC
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Dates
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Enumeration Date | 02/24/2014
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 6 HIGHLAND DR
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City | LIVINGSTON
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State | NJ
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Zip | 07039-2809
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Country | US
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Telephone | 973-994-0497
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Fax |
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Provider Business Mailing Address
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Address Line | 6 HIGHLAND DR
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City | LIVINGSTON
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State | NJ
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Zip | 07039-2809
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CARLO UCOL
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Credential | PT
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Telephone | 973-994-0497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 40QA01094500
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License Number State | NJ
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