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General NPI Number Information
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NPI Number | 1629255427
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Entity Type | Organization
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Legal Business Name | VISION CARE, INC.
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 01/24/2008
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Provider Practice Location Address
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Address Line | 3321 RIVERSIDE DR SUITE B
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City | DANVILLE
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State | VA
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Zip | 24541-3430
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Country | US
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Telephone | 434-791-4371
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Fax | 434-791-4386
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Provider Business Mailing Address
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Address Line | 2615 QUAKER LANDING RD
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City | GREENSBORO
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State | NC
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Zip | 27455-2178
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Country | US
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Telephone | 336-288-5459
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Fax | 336-540-9132
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Authorized Official
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Title or Position | OPTOMETRIST/PRESIDENT
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Name | DR. CLARE MARIE MANN
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Credential | O.D.
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Telephone | 336-288-5459
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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 | 0618001269
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License Number State | VA
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