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General NPI Number Information
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NPI Number | 1225219744
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Entity Type | Organization
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Legal Business Name | NAPOLEON FAMILY VISION AND CONTACT LENS CENTER, LLC
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Dates
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Enumeration Date | 11/27/2007
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 1804 OAKWOOD AVE.
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City | NAPOLEON
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State | OH
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Zip | 43545-9677
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Country | US
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Telephone | 419-599-4541
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Fax |
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Provider Business Mailing Address
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Address Line | 1804 OAKWOOD AVE
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City | NAPOLEON
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State | OH
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Zip | 43545-9242
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Country | US
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Telephone | 419-599-4541
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. RACHEL A BOSTELMAN
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Credential | O.D.
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Telephone | 419-599-4541
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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 | 5702
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License Number State | OH
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