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General NPI Number Information
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NPI Number | 1073948972
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Entity Type | Organization
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Legal Business Name | JVS, LLC
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 01/22/2024
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Provider Practice Location Address
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Address Line | 1900 SE 34TH AVE UNIT 1400
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City | AMARILLO
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State | TX
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Zip | 79118-7781
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Country | US
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Telephone | 806-381-2444
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Fax | 806-410-0567
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Provider Business Mailing Address
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Address Line | PO BOX 30801
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City | AMARILLO
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State | TX
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Zip | 79120-0801
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Country | US
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Telephone | 806-381-2444
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Fax | 806-410-0567
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOEL SCALF
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Credential |
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Telephone | 806-381-2444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FC0800X
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Taxonomy Name | Contact Lens Technician/Technologist
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License Number | CP20058
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License Number State | TX
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Taxonomy #2
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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 |
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