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NPI 1083415319

NPI 1083415319 : VISION HEALTHCARE SOLUTIONS LLC : ROGERSVILLE, TN

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General NPI Number Information
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    NPI Number           |    1083415319
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    Entity Type          |    Organization 
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    Legal Business Name  |    VISION HEALTHCARE SOLUTIONS LLC 
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Dates
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    Enumeration Date     |    03/22/2025
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    Last Update Date     |    09/08/2025
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Provider Practice Location Address
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    Address Line         |    309 E MAIN ST 
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    City                 |    ROGERSVILLE
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    State                |    TN
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    Zip                  |    37857-3313
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    Country              |    US
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    Telephone            |    423-381-4186
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    Fax                  |    423-381-4186
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Provider Business Mailing Address
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    Address Line         |    PO BOX 506 
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    City                 |    SPRING CITY
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    State                |    TN
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    Zip                  |    37381-0506
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    Country              |    US
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    Telephone            |    423-500-0879
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    Fax                  |    833-355-6415
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     PUSHKAS  GOPALAN 
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    Credential           |    
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    Telephone            |    423-439-7280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR1300X
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    Taxonomy Name        |    Rural Health Clinic/Center
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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