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General NPI Number Information
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NPI Number | 1497947279
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Entity Type | Organization
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Legal Business Name | VISION RESOURCES OF CENTRAL PENNSYLVANIA
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Dates
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Enumeration Date | 08/15/2007
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Last Update Date | 12/18/2012
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Provider Practice Location Address
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Address Line | 1130 S 19TH ST
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City | HARRISBURG
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State | PA
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Zip | 17104-2912
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Country | US
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Telephone | 717-238-2531
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Fax | 717-238-0710
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Provider Business Mailing Address
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Address Line | 1130 S 19TH ST
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City | HARRISBURG
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State | PA
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Zip | 17104-2912
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Country | US
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Telephone | 717-238-2531
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Fax | 717-238-0710
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DANETTE BLANK
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Credential |
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Telephone | 717-238-2531
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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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Taxonomy #2
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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