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General NPI Number Information
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NPI Number | 1619068780
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Entity Type | Organization
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Legal Business Name | VISION CARE ASSOCIATES, LTD.
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 11/01/2007
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Provider Practice Location Address
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Address Line | 45 WELLS ST SUITE 2020
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City | WESTERLY
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State | RI
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Zip | 02891-2927
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Country | US
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Telephone | 401-596-4959
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Fax | 401-596-6896
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Provider Business Mailing Address
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Address Line | 45 WELLS ST SUITE 2020
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City | WESTERLY
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State | RI
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Zip | 02891-2927
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Country | US
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Telephone | 401-596-4959
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Fax | 401-596-6896
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID R RIVERA
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Credential | MD
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Telephone | 401-596-4959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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