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General NPI Number Information
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NPI Number | 1306378849
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Entity Type | Organization
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Legal Business Name | GLOBAL VISION SOURCES INC.
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Dates
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Enumeration Date | 04/03/2017
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Last Update Date | 04/03/2017
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Provider Practice Location Address
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Address Line | 7500 E DEER VALLEY RD UNIT 155
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-4814
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Country | US
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Telephone | 301-356-2656
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 E DEER VALLEY RD UNIT 155
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-4814
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Country | US
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Telephone | 301-356-2656
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | OLAKUNLE SOWUNMI
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Credential |
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Telephone | 202-341-1240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 1978
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License Number State | AZ
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