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General NPI Number Information
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NPI Number | 1437104353
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Entity Type | Organization
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Legal Business Name | VISION CARE CLINIC PC
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 10/18/2023
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Provider Practice Location Address
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Address Line | 324 MAIN ST
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City | MANNING
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State | IA
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Zip | 51455-1031
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Country | US
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Telephone | 712-655-2020
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Fax | 712-655-2323
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Provider Business Mailing Address
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Address Line | 324 MAIN ST
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City | MANNING
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State | IA
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Zip | 51455-1031
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Country | US
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Telephone | 712-655-2020
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Fax | 712-655-2323
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Authorized Official
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Title or Position | CO PRESIDENT
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Name | DR. SCOTT A BOWKER
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Credential | OD
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Telephone | 712-263-2020
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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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