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General NPI Number Information
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NPI Number | 1346317534
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Entity Type | Organization
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Legal Business Name | 20 10 VISION ASSOCIATES P C
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7780 W ARROWHEAD TOWNE CTR
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City | GLENDALE
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State | AZ
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Zip | 85308-8612
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Country | US
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Telephone | 623-979-7628
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Fax | 623-979-7638
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Provider Business Mailing Address
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Address Line | 7780 W ARROWHEAD TOWNE CTR
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City | GLENDALE
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State | AZ
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Zip | 85308-8612
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Country | US
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Telephone | 623-979-7628
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Fax | 623-979-7638
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GAIL C AKERMAN
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Credential | O.D.
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Telephone | 623-979-7628
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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 | 1162
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License Number State | AZ
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