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General NPI Number Information
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NPI Number | 1356523468
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Entity Type | Organization
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Legal Business Name | ST. CROIX VISION CENTER
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 09/12/2016
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Provider Practice Location Address
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Address Line | 8000 NISKY CENTER SUITE #19 NISKY CENTER
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City | ST. THOMAS
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State | VI
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Zip | 00802
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Country | US
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Telephone | 340-776-2020
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Fax | 340-778-0977
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Provider Business Mailing Address
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Address Line | PO BOX 5996
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City | CHRISTIANSTED
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State | VI
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Zip | 00823-5996
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Country | US
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Telephone | 340-773-2020
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Fax | 340-778-0977
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CARL F MASCHAUER
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Credential | O.D.,
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Telephone | 340-773-2020
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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 | 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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