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General NPI Number Information
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NPI Number | 1255662433
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Entity Type | Organization
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Legal Business Name | VISION FOR INDEPENDENCE CENTER
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Dates
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Enumeration Date | 01/27/2010
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 311 N 4TH ST STE 104
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City | YAKIMA
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State | WA
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Zip | 98901-2467
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Country | US
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Telephone | 509-452-8301
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Fax |
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Provider Business Mailing Address
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Address Line | 311 N 4TH ST STE 104
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City | YAKIMA
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State | WA
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Zip | 98901-2467
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Country | US
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Telephone | 509-452-8301
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | JENNIFER CROWN
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Credential |
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Telephone | 509-452-8301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WX0102X
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Taxonomy Name | Occupational Vision Optometrist
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License Number |
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License Number State |
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