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General NPI Number Information
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NPI Number | 1386507861
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Entity Type | Organization
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Legal Business Name | NUR VISION LLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 801 MEACHAM RD
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City | ELK GROVE VILLAGE
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State | IL
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Zip | 60007-3073
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Country | US
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Telephone | 847-584-7090
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Fax |
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Provider Business Mailing Address
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Address Line | 2501 CHATHAM RD STE R
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City | SPRINGFIELD
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State | IL
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Zip | 62704-4188
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. SYEDA R FATIMA
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Credential |
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Telephone | 630-770-0814
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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 |
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License Number State |
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