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General NPI Number Information
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NPI Number | 1285376053
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Entity Type | Organization
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Legal Business Name | INTERQUEST VISION LLC
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 1268 INTERQUEST PKWY STE 120
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-4209
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Country | US
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Telephone | 719-463-0200
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Fax | 719-301-3322
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Provider Business Mailing Address
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Address Line | 1268 INTERQUEST PKWY STE 120
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-4209
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Country | US
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Telephone | 719-463-0200
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Fax | 719-301-3322
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Authorized Official
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Title or Position | OWNER
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Name | JOHN F MILESKI
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Credential | OD
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Telephone | 703-474-8037
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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 |
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License Number State |
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