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General NPI Number Information
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NPI Number | 1508197351
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Entity Type | Organization
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Legal Business Name | TEICHMILLER VISION SERVICES LLC
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Dates
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Enumeration Date | 01/19/2010
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Last Update Date | 01/19/2010
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Provider Practice Location Address
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Address Line | 823 6TH AVE SE
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City | DECATUR
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State | AL
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Zip | 35601-3021
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Country | US
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Telephone | 256-353-1871
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Fax |
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Provider Business Mailing Address
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Address Line | 823 6TH AVE SE
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City | DECATUR
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State | AL
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Zip | 35601-3021
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Country | US
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Telephone | 256-353-1871
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRIS D TEICHMILLER
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Credential | OD
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Telephone | 256-353-1871
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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 | S-718-TA-087
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License Number State | AL
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