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General NPI Number Information
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NPI Number | 1174259444
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Entity Type | Organization
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Legal Business Name | VISIONARY HEALTHCARE LLC
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 3400 ARAMINGO AVE STE 7
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City | PHILADELPHIA
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State | PA
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Zip | 19134-4531
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Country | US
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Telephone | 215-425-4340
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Fax | 215-426-7689
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Provider Business Mailing Address
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Address Line | 11304 VALLEY FORGE CIR
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-1190
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Country | US
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Telephone | 610-506-3114
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Fax | 215-426-7689
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Authorized Official
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Title or Position | OWNER
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Name | DR. DORAY IBRAHIM GURKAYNAK
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Credential | O.D.
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Telephone | 610-506-3114
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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 |
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License Number State |
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