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General NPI Number Information
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NPI Number | 1598988032
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Entity Type | Organization
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Legal Business Name | A&N VISION, P.A.
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/02/2010
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Provider Practice Location Address
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Address Line | 125 ROSEWOOD AVE
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City | BOERNE
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State | TX
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Zip | 78006-2313
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Country | US
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Telephone | 830-249-8090
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Fax | 830-249-8052
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Provider Business Mailing Address
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Address Line | 125 ROSEWOOD AVE
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City | BOERNE
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State | TX
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Zip | 78006-2313
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Country | US
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Telephone | 830-249-8090
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Fax | 830-249-8052
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Authorized Official
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Title or Position | VICE PRES.
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Name | DR. JOSEPH C ARRIETA
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Credential | O.D.
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Telephone | 830-249-8090
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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 | 5533TG
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License Number State | TX
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