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NPI 1588796973

NPI 1588796973 : VISION ASSOCIATES INC : BOWLING GREEN, OH

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General NPI Number Information
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    NPI Number           |    1588796973
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    Entity Type          |    Organization 
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    Legal Business Name  |    VISION ASSOCIATES INC 
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Dates
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    Enumeration Date     |    03/12/2007
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    Last Update Date     |    02/10/2009
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Provider Practice Location Address
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    Address Line         |    970 W WOOSTER ST SUITE 221
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    City                 |    BOWLING GREEN
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    State                |    OH
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    Zip                  |    43402-2643
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    Country              |    US
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    Telephone            |    419-578-7083
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    970 W WOOSTER ST SUITE 221
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    City                 |    BOWLING GREEN
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    State                |    OH
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    Zip                  |    43402-2643
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    Country              |    US
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    Telephone            |    419-578-7083
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    Fax                  |    
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Authorized Official
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    Title or Position    |    BILLING MANAGER
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    Name                 |    MRS. SHAWNA  NEYHART 
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    Credential           |    
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    Telephone            |    419-578-7083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    
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    License Number State |    
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