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General NPI Number Information
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NPI Number | 1669409546
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Entity Type | Organization
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Legal Business Name | VALLEY EYE INSTITUTE
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1219 RECKER RD
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City | PIQUA
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State | OH
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Zip | 45356
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Country | US
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Telephone | 937-492-3755
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Fax | 937-492-1132
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Provider Business Mailing Address
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Address Line | 1118 FAIRINGTON DRIVE
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City | SIDNEY
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State | OH
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Zip | 45365
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Country | US
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Telephone | 937-492-3755
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Fax | 937-492-1132
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MRS. KIMBERLY A BOWMAN
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Credential |
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Telephone | 937-492-3755
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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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