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General NPI Number Information
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NPI Number | 1295866978
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Entity Type | Organization
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Legal Business Name | 20 20 VISION INC
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 104 N DIXON RD
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City | KOKOMO
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State | IN
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Zip | 46901-4154
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Country | US
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Telephone | 765-459-3937
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Fax | 765-459-4430
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Provider Business Mailing Address
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Address Line | 104 N DIXON RD
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City | KOKOMO
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State | IN
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Zip | 46901-4154
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Country | US
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Telephone | 765-459-3937
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Fax | 765-459-4430
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ANGELA DUGGINS
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Credential |
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Telephone | 765-459-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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