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General NPI Number Information
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NPI Number | 1548343007
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Entity Type | Organization
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Legal Business Name | AURORA VISION CENTER
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 7855 STATE HWY. 60 SUITE
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City | CEDARBURG
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State | WI
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Zip | 53012
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Country | US
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Telephone | 262-376-5976
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Fax |
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Provider Business Mailing Address
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Address Line | 7855 STATE HWY. 60 SUITE
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City | CEDARBURG
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State | WI
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Zip | 53012
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Country | US
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Telephone | 262-376-5976
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Fax |
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | MARY PANTEL
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Credential |
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Telephone | 920-803-3266
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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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