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General NPI Number Information
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NPI Number | 1326461807
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Entity Type | Organization
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Legal Business Name | PRECISION VISION PLLC
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 04/04/2014
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Provider Practice Location Address
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Address Line | 482 S MAIN ST
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City | SPANISH FORK
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State | UT
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Zip | 84660-2410
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Country | US
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Telephone | 801-504-6448
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Fax | 801-504-6239
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Provider Business Mailing Address
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Address Line | 482 S MAIN ST
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City | SPANISH FORK
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State | UT
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Zip | 84660-2410
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Country | US
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Telephone | 801-504-6448
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Fax | 801-504-6239
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Authorized Official
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Title or Position | MEMBER
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Name | DR. JESS E MENDENHALL
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Credential | O.D.
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Telephone | 520-678-6567
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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 |
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License Number State |
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Taxonomy #2
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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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