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General NPI Number Information
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NPI Number | 1588092621
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Entity Type | Organization
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Legal Business Name | RENUVISION, INC.
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 03/06/2014
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Provider Practice Location Address
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Address Line | 3609 MEDINA RD
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City | MEDINA
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State | OH
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Zip | 44256-8181
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Country | US
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Telephone | 330-722-1313
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Fax | 330-723-3003
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Provider Business Mailing Address
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Address Line | 3609 MEDINA RD
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City | MEDINA
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State | OH
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Zip | 44256-8181
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Country | US
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Telephone | 330-722-1313
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Fax | 330-723-3003
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Authorized Official
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Title or Position | OWNER / OPHTHALMOLOGIST
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Name | ANDREW A ESPOSITO
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Credential | M.D.
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Telephone | 330-722-1313
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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 | 4976
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35048832
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35092551
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License Number State | OH
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