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General NPI Number Information
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NPI Number | 1598328205
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Entity Type | Organization
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Legal Business Name | RICHMOND FAMILY VISION LLC
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 04/17/2019
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Provider Practice Location Address
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Address Line | 691 RICHMOND RD
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City | RICHMOND HEIGHTS
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State | OH
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Zip | 44143-2990
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Country | US
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Telephone | 440-442-4930
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Fax | 866-425-2239
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Provider Business Mailing Address
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Address Line | PO BOX 880
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City | HUDSON
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State | OH
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Zip | 44236-5880
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Country | US
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Telephone | 330-697-4748
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Fax | 866-425-2239
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD E HULTS
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Credential | OD
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Telephone | 330-697-4748
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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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