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General NPI Number Information
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NPI Number | 1205501236
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Entity Type | Organization
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Legal Business Name | HORVATH VISION CARE - NORTHWOODS INC
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 180 NORTHWOODS BLVD
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City | COLUMBUS
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State | OH
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Zip | 43235-4400
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Country | US
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Telephone | 614-880-9196
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Fax |
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Provider Business Mailing Address
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Address Line | 180 NORTHWOODS BLVD
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City | COLUMBUS
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State | OH
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Zip | 43235-4400
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING COORDINATOR
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Name | AMY SHANKS
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Credential |
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Telephone | 614-880-9196
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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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