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General NPI Number Information
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NPI Number | 1396950846
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Entity Type | Organization
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Legal Business Name | ROSIN OPTICAL CO., INC.
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 05/18/2010
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Provider Practice Location Address
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Address Line | 1987 W. GALENA BLVD
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City | AURORA
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State | IL
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Zip | 60506
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Country | US
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Telephone | 630-892-6610
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Fax |
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Provider Business Mailing Address
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Address Line | 1987 W. GALENA BLVD
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City | AURORA
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State | IL
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Zip | 60506
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Country | US
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Telephone | 630-892-6610
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PROFESSIONAL SERVICES
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Name | DR. NICHOLAS A. CHIARAMONTI JR.
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Credential | O.D.
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Telephone | 630-546-8319
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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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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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