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General NPI Number Information
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NPI Number | 1609041268
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Entity Type | Organization
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Legal Business Name | R. B. VISIONS INC.
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 361 MAIN ST
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City | HUNTINGTON
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State | NY
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Zip | 11743-3203
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Country | US
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Telephone | 631-421-4211
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Fax |
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Provider Business Mailing Address
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Address Line | 361 MAIN ST
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City | HUNTINGTON
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State | NY
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Zip | 11743-3203
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Country | US
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Telephone | 631-421-4211
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. RANDI B JABUREK
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Credential |
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Telephone | 631-421-4211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 004656
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License Number State | NY
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