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General NPI Number Information
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NPI Number | 1154478642
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Entity Type | Organization
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Legal Business Name | RICHWOOD VISION CENTER
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8 S FRANKLIN ST
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City | RICHWOOD
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State | OH
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Zip | 43344-1132
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Country | US
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Telephone | 740-943-2148
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Fax | 740-943-2148
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Provider Business Mailing Address
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Address Line | 8 S FRANKLIN ST
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City | RICHWOOD
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State | OH
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Zip | 43344-1132
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Country | US
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Telephone | 740-943-2148
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Fax | 740-943-2148
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Authorized Official
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Title or Position | DR
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Name | DR. DANIEL J NIEDERKOHR
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Credential | OD
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Telephone | 740-943-2148
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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 | 3083
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License Number State | OH
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