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General NPI Number Information
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NPI Number | 1427746403
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Entity Type | Organization
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Legal Business Name | SALUTE VISION CARE
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Dates
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Enumeration Date | 04/27/2023
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 106 MEYER AVE BLDG 166
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City | OFFUTT AFB
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State | NE
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Zip | 68113-2000
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Country | US
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Telephone | 402-292-0396
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Fax | 402-292-2263
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Provider Business Mailing Address
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Address Line | 3105 SHERIDAN RD
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City | BELLEVUE
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State | NE
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Zip | 68123-5320
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Country | US
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Telephone | 402-452-7854
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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. VIVIANLE BENSON FREEMAN
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Credential | OD
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Telephone | 402-452-7854
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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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