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General NPI Number Information
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NPI Number | 1194763128
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Entity Type | Organization
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Legal Business Name | GLOBAL VISION CENTER
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 02/06/2008
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Provider Practice Location Address
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Address Line | 2429 CLEANLEIGH DR
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City | PARKVILLE
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State | MD
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Zip | 21234-6808
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Country | US
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Telephone | 410-663-8393
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Fax | 410-663-8394
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Provider Business Mailing Address
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Address Line | 2429 CLEANLEIGH DR
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City | PARKVILLE
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State | MD
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Zip | 21234-6808
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Country | US
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Telephone | 410-663-8393
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Fax | 410-663-8394
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Authorized Official
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Title or Position | MANAGER
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Name | KEVIN D SMITH
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Credential |
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Telephone | 410-663-8393
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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 | 03181553
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License Number State | MD
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