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General NPI Number Information
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NPI Number | 1588125710
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Entity Type | Organization
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Legal Business Name | VISION QUEST OPTICAL, LLC
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Dates
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Enumeration Date | 03/29/2019
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Last Update Date | 01/07/2020
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Provider Practice Location Address
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Address Line | 3801 WILDER RD STE 4
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City | BAY CITY
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State | MI
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Zip | 48706-2301
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Country | US
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Telephone | 989-778-1414
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Fax | 989-402-1467
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Provider Business Mailing Address
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Address Line | 3801 WILDER RD STE 4
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City | BAY CITY
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State | MI
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Zip | 48706-2301
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Country | US
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Telephone | 989-778-1414
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Fax | 989-402-1467
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. PATRICK PAUL RUGGLES
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Credential | O.D.
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Telephone | 989-778-1414
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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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