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General NPI Number Information
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NPI Number | 1477461754
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Entity Type | Organization
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Legal Business Name | EMERGING VISION
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Dates
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Enumeration Date | 08/28/2026
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Last Update Date | 08/28/2026
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Provider Practice Location Address
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Address Line | 3525 CAPITAL CITY MALL DR
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City | CAMP HILL
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State | PA
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Zip | 17011-7002
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Country | US
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Telephone | 717-975-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 100 QUENTIN ROOSEVELT BLVD STE 101
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City | GARDEN CITY
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State | NY
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Zip | 11530-4843
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Country | US
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Telephone | 858-414-3513
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING
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Name | NICHOLAS SHASHATI
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Credential |
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Telephone | 646-737-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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