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General NPI Number Information
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NPI Number | 1124818885
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Entity Type | Organization
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Legal Business Name | UNITED VISION HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 75 EXECUTIVE DR STE 319
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City | AURORA
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State | IL
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Zip | 60504-8152
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Country | US
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Telephone | 304-492-1866
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Fax | 630-340-5948
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Provider Business Mailing Address
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Address Line | 75 EXECUTIVE DR STE 319
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City | AURORA
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State | IL
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Zip | 60504-8152
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Country | US
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Telephone | 304-492-1866
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Fax | 630-340-5948
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Authorized Official
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Title or Position | DR. /OWNER
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Name | NSO A NSO
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Credential | MD
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Telephone | 133-143-1986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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