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General NPI Number Information
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NPI Number | 1154611283
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Entity Type | Organization
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Legal Business Name | LUCCHETTI TOTAL VISION PLLC
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 10/11/2011
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Provider Practice Location Address
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Address Line | 228 BUFFALO PLAZA
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City | SARVER
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State | PA
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Zip | 16055-8302
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Country | US
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Telephone | 724-996-5640
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Fax |
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Provider Business Mailing Address
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Address Line | 228 BUFFALO PLAZA
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City | SARVER
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State | PA
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Zip | 16055-8302
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Country | US
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Telephone | 724-996-5640
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Fax |
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Authorized Official
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Title or Position | OD OWNER
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Name | VINCENT D LUCCHETTI
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Credential | OD
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Telephone | 724-996-5640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | OEG001016
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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