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General NPI Number Information
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NPI Number | 1508174947
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Entity Type | Organization
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Legal Business Name | KUHAR VISION CARE PC
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Dates
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Enumeration Date | 09/20/2010
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 932 BROOK FOREST AVE
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City | SHOREWOOD
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State | IL
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Zip | 60404-8807
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Country | US
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Telephone | 815-577-0020
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Fax | 815-577-3884
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Provider Business Mailing Address
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Address Line | 932 BROOK FOREST AVE
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City | SHOREWOOD
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State | IL
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Zip | 60404-8807
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Country | US
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Telephone | 815-577-0020
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Fax | 815-577-3884
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Authorized Official
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Title or Position | PRESIDENT/OPTOMETRIST
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Name | DR. LUDWIG C KUHAR
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Credential | O.D.
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Telephone | 815-577-0020
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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 | 046-009027
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License Number State | IL
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