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General NPI Number Information
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NPI Number | 1467640516
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Entity Type | Organization
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Legal Business Name | CHITTICK FAMILY VISION CENTER, LTD.
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 02/08/2008
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Provider Practice Location Address
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Address Line | 112 S MAIN ST # 95
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City | PARIS
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State | IL
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Zip | 61944-1731
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Country | US
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Telephone | 217-465-6461
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Fax | 217-465-6461
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Provider Business Mailing Address
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Address Line | 112 S MAIN ST # 95
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City | PARIS
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State | IL
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Zip | 61944-1731
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Country | US
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Telephone | 217-465-6461
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Fax | 217-465-6461
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. AARON G. RHOADS
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Credential | O.D.
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Telephone | 217-465-6461
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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 | IL
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