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General NPI Number Information
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NPI Number | 1619457025
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Entity Type | Organization
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Legal Business Name | NOW VISION, LLC
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 02/17/2021
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Provider Practice Location Address
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Address Line | 7579 OLIVIA CT
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City | WAYNESVILLE
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State | OH
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Zip | 45068-7205
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Country | US
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Telephone | 561-275-2020
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Fax | 561-828-8367
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Provider Business Mailing Address
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Address Line | 7579 OLIVIA CT
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City | WAYNESVILLE
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State | OH
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Zip | 45068-7205
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Country | US
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Telephone | 561-275-2020
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Fax | 561-828-8367
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Authorized Official
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Title or Position | CREDENTIALING TEAM LEAD
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Name | JACKIE BENNETT
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Credential |
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Telephone | 561-433-6009
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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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