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General NPI Number Information
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NPI Number | 1285881573
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Entity Type | Organization
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Legal Business Name | HILL VISION SERVICES, LLC
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 10/08/2008
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Provider Practice Location Address
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Address Line | 319 S SILVER SPRINGS RD
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City | CAPE GIRARDEAU
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State | MO
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Zip | 63703-6311
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Country | US
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Telephone | 573-332-1300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 419161
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City | SAINT LOUIS
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State | MO
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Zip | 63141
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Country | US
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Telephone | 314-432-2580
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Fax | 314-432-0223
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | TRACY PARCIAK
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Credential |
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Telephone | 314-432-2580
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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 | R7J50
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License Number State | MO
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