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General NPI Number Information
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NPI Number | 1053397273
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Entity Type | Organization
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Legal Business Name | ASSOCIATION FOR THE BLIND AND VISUALLY IMPAIRED-GOODWILL INDUSTRIES OF
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Dates
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Enumeration Date | 12/20/2005
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Last Update Date | 01/09/2017
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Provider Practice Location Address
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Address Line | 422 CLINTON AVE S
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City | ROCHESTER
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State | NY
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Zip | 14620-1103
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Country | US
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Telephone | 585-232-1111
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Fax | 585-232-2972
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Provider Business Mailing Address
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Address Line | 422 CLINTON AVE S
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City | ROCHESTER
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State | NY
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Zip | 14620-1103
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Country | US
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Telephone | 585-232-1111
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Fax | 585-232-2972
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | GEORGE F. KLEMANN
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Credential |
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Telephone | 585-232-1111
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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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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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