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General NPI Number Information
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NPI Number | 1265239339
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Entity Type | Organization
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Legal Business Name | MVC VISION 01 PLLC
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 6880 EP TRUE PKWY SUITE 110
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City | WEST DES MOINES
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State | IA
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Zip | 50266
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Country | US
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Telephone | 402-933-7232
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Fax | 402-933-7123
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Provider Business Mailing Address
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Address Line | 16820 FRANCES ST STE 100
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City | OMAHA
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State | NE
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Zip | 68130-2391
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Country | US
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Telephone | 402-933-7232
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Fax | 402-933-7123
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Authorized Official
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Title or Position | OWNER
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Name | DREW DICKSON
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Credential | MD
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Telephone | 402-677-1114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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