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General NPI Number Information
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NPI Number | 1588980569
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Entity Type | Organization
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Legal Business Name | VISION CARE RESOURCES LLC
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Dates
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Enumeration Date | 04/15/2010
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Last Update Date | 04/15/2010
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Provider Practice Location Address
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Address Line | 3050 ASHLEY TOWN CENTER DR
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City | CHARLESTON
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State | SC
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Zip | 29414-5664
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Country | US
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Telephone | 843-460-2001
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Fax |
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Provider Business Mailing Address
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Address Line | 776 DANIEL ELLIS DR SUITE 3B
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City | CHARLESTON
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State | SC
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Zip | 29412-3094
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Country | US
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Telephone | 843-573-9944
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Fax | 843-573-9969
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Authorized Official
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Title or Position | MANAGER
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Name | DR. MICHAEL MORABITO
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Credential | O.D.
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Telephone | 843-557-2865
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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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