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General NPI Number Information
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NPI Number | 1609944859
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Entity Type | Organization
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Legal Business Name | NEHS FAMILY VISION CENTER, INC.
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 12/23/2009
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Provider Practice Location Address
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Address Line | 100 ARCADIAN AVE
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City | WAUKESHA
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State | WI
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Zip | 53186-5002
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Country | US
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Telephone | 262-542-3676
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Fax | 262-542-3826
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Provider Business Mailing Address
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Address Line | 100 ARCADIAN AVE
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City | WAUKESHA
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State | WI
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Zip | 53186-5002
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Country | US
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Telephone | 262-542-3676
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Fax | 262-542-3826
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DOUGLAS KINSEY NEHS
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Credential | O.D.
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Telephone | 262-542-3676
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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 | 1260-065
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License Number State | WI
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