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General NPI Number Information
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NPI Number | 1407077290
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Entity Type | Organization
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Legal Business Name | NHH VISION GROUP, S.C.
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 12/02/2008
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Provider Practice Location Address
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Address Line | 401 WOODWARD AVE
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City | KINGSFORD
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State | MI
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Zip | 49802-4630
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Country | US
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Telephone | 906-774-0611
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Fax | 906-774-2796
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Provider Business Mailing Address
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Address Line | 401 WOODWARD AVE
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City | KINGSFORD
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State | MI
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Zip | 49802-4630
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Country | US
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Telephone | 906-774-0611
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Fax | 906-774-2796
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NELSON H. HASSELL
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Credential | O.D.
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Telephone | 906-774-0611
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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 | 4901003162
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License Number State | MI
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