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General NPI Number Information
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NPI Number | 1558732560
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Entity Type | Organization
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Legal Business Name | YPSILANTI VISION PC
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Dates
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Enumeration Date | 10/16/2015
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Last Update Date | 12/17/2015
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Provider Practice Location Address
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Address Line | 1769 WASHTENAW RD
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City | YPSILANTI
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State | MI
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Zip | 48197-2020
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Country | US
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Telephone | 734-483-2100
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Fax | 734-483-2060
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Provider Business Mailing Address
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Address Line | 1769 WASHTENAW RD
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City | YPSILANTI
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State | MI
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Zip | 48197-2020
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Country | US
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Telephone | 734-483-2100
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Fax | 734-483-2060
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIFFANY K ZAIR
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Credential | OD
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Telephone | 734-483-2100
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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 | MI
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