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General NPI Number Information
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NPI Number | 1194119297
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR VISUAL MANAGEMENT
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Dates
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Enumeration Date | 03/26/2015
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Last Update Date | 02/22/2017
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Provider Practice Location Address
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Address Line | 150 WHITE PLAINS RD SUITE 410
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City | TARRYTOWN
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State | NY
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Zip | 10591-5535
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Country | US
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Telephone | 914-631-1070
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Fax | 914-631-3802
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Provider Business Mailing Address
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Address Line | 150 WHITE PLAINS RD SUITE 410
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City | TARRYTOWN
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State | NY
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Zip | 10591-5535
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Country | US
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Telephone | 914-631-1070
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Fax | 914-631-3802
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. BARBARA KOTSAMANIDIS-BURG
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Credential |
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Telephone | 914-631-1070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number |
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License Number State |
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