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General NPI Number Information
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NPI Number | 1063561108
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Entity Type | Organization
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Legal Business Name | QUALITY VISION CENTER, INC.
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 02/04/2008
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Provider Practice Location Address
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Address Line | 2350 SE WASHINGTON BLVD STE 228
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City | BARTLESVILLE
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State | OK
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Zip | 74006-7211
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Country | US
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Telephone | 918-333-2929
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Fax | 918-333-4651
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Provider Business Mailing Address
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Address Line | 2350 SE WASHINGTON BLVD STE 228
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City | BARTLESVILLE
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State | OK
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Zip | 74006-7211
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Country | US
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Telephone | 918-333-2929
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Fax | 918-333-4651
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Authorized Official
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Title or Position | PRESIDENT
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Name | BARBARA A MOBERLY
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Credential |
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Telephone | 918-333-2929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State | OK
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