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General NPI Number Information
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NPI Number | 1497905186
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Entity Type | Organization
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Legal Business Name | EYES ON THE VALLEY
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Dates
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Enumeration Date | 09/30/2008
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 117 THREE SPRINGS DR SUITE C
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City | WEIRTON
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State | WV
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Zip | 26062-3827
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Country | US
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Telephone | 304-723-0477
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Fax | 304-723-0778
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Provider Business Mailing Address
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Address Line | 117 THREE SPRINGS DR SUITE C
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City | WEIRTON
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State | WV
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Zip | 26062-3827
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Country | US
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Telephone | 304-723-0477
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Fax | 304-723-0778
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | ALVIN GINIER
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Credential |
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Telephone | 304-723-0477
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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 | 99A4T
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License Number State | WV
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