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General NPI Number Information
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NPI Number | 1215393798
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Entity Type | Organization
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Legal Business Name | DR VICTOR R RIGACCI, OD, PSC
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Dates
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Enumeration Date | 01/13/2016
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Last Update Date | 01/13/2016
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Provider Practice Location Address
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Address Line | 4370 EASTGATE SQUARE DR
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City | CINCINNATI
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State | OH
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Zip | 45245-4502
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Country | US
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Telephone | 513-753-8490
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Fax |
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Provider Business Mailing Address
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Address Line | 1594 BRANDON DR
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City | HEBRON
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State | KY
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Zip | 41048-9516
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Country | US
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Telephone | 859-801-1731
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. VICTOR ROBERT RIGACCI
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Credential | O.D.
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Telephone | 859-801-1731
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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 | 4996
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License Number State | OH
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