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General NPI Number Information
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NPI Number | 1184785594
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Entity Type | Organization
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Legal Business Name | AMERICAN VISION CENTER
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 11/03/2009
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Provider Practice Location Address
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Address Line | 903 GLYNN ISLE
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City | BRUNSWICK
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State | GA
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Zip | 31525-2938
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Country | US
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Telephone | 912-264-3012
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Fax | 912-264-5237
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Provider Business Mailing Address
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Address Line | 903 GLYNN ISLE
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City | BRUNSWICK
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State | GA
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Zip | 31525-2938
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Country | US
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Telephone | 912-264-3012
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Fax | 912-264-5237
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHERI FRIEDLAND
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Credential |
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Telephone | 912-264-3012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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