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General NPI Number Information
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NPI Number | 1043868524
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Entity Type | Organization
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Legal Business Name | W VISION
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Dates
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Enumeration Date | 08/28/2019
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Last Update Date | 08/28/2019
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Provider Practice Location Address
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Address Line | 15 S STEELE ST
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City | DENVER
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State | CO
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Zip | 80209-2829
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Country | US
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Telephone | 303-377-2669
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Fax |
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Provider Business Mailing Address
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Address Line | 470 S TELLER ST UNIT 1
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City | LAKEWOOD
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State | CO
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Zip | 80226-7396
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Country | US
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Telephone | 361-876-8521
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AARON WINSTEAD
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Credential |
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Telephone | 361-876-8521
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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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