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General NPI Number Information
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NPI Number | 1659752392
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Entity Type | Organization
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Legal Business Name | NVA OF PA, LLC
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Dates
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Enumeration Date | 06/17/2015
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Last Update Date | 06/17/2015
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Provider Practice Location Address
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Address Line | 5040 RITTER RD
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City | MECHANICSBURG
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State | PA
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Zip | 17055-4879
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Country | US
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Telephone | 800-672-7723
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Fax |
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Provider Business Mailing Address
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Address Line | 5040 RITTER RD
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City | MECHANICSBURG
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State | PA
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Zip | 17055-4879
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Country | US
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Telephone | 800-672-7723
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. RICHARD TERRANOVA
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Credential |
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Telephone | 800-672-7723
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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 |
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License Number State |
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