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General NPI Number Information
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NPI Number | 1285009787
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Entity Type | Organization
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Legal Business Name | HEALTH VISION INC
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Dates
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Enumeration Date | 12/09/2015
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Last Update Date | 12/09/2015
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Provider Practice Location Address
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Address Line | 52 BROOK RUN LN
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City | STAMFORD
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State | CT
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Zip | 06905-3001
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Country | US
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Telephone | 203-461-8463
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Fax |
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Provider Business Mailing Address
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Address Line | 52 BROOK RUN LN
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City | STAMFORD
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State | CT
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Zip | 06905-3001
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Country | US
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Telephone | 203-461-8463
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEXANDER KUZMINOV
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Credential | L.AC.
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Telephone | 203-461-8463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 000118
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License Number State | CT
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