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General NPI Number Information
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NPI Number | 1245306281
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Entity Type | Organization
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Legal Business Name | GENERAL VISION SERVICES LLC
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1901 1ST AVE ROOM 1D18
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City | NEW YORK
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State | NY
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Zip | 10029-7404
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Country | US
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Telephone | 212-423-0665
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Fax | 212-423-0544
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Provider Business Mailing Address
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Address Line | 520 8TH AVE 9TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10018-6507
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Country | US
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Telephone | 212-729-5300
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Fax | 212-967-4781
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Authorized Official
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Title or Position | PROVIDER RELATIONS DIRECTOR
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Name | MR. VIVEK SRA
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Credential |
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Telephone | 212-729-5365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State | NY
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