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General NPI Number Information
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NPI Number | 1508365784
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Entity Type | Organization
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Legal Business Name | C VISION INC
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Dates
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Enumeration Date | 02/02/2018
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Last Update Date | 02/02/2018
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Provider Practice Location Address
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Address Line | 1230 CHESTNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4849
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Country | US
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Telephone | 215-977-7700
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Fax | 215-977-7105
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Provider Business Mailing Address
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Address Line | 1230 CHESTNUT ST
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4849
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Country | US
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Telephone | 215-977-7700
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Fax | 215-977-7105
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Authorized Official
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Title or Position | MANAGER
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Name | NANI CHONG
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Credential |
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Telephone | 215-880-3364
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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 |
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License Number State |
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