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General NPI Number Information
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NPI Number | 1174855134
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Entity Type | Organization
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Legal Business Name | VISION EYE CARE
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 123 S WESTNEDGE AVE
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City | KALAMAZOO
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State | MI
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Zip | 49007-4625
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Country | US
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Telephone | 269-343-0377
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Fax | 269-343-4744
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Provider Business Mailing Address
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Address Line | 123 S WESTNEDGE AVE
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City | KALAMAZOO
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State | MI
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Zip | 49007-4625
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Country | US
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Telephone | 269-343-0377
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Fax | 269-343-4744
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Authorized Official
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Title or Position | CORP PRESIDENT
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Name | MUNZER ABDULHAK
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Credential | M.D.
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Telephone | 269-343-0377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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