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General NPI Number Information
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NPI Number | 1669936191
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Entity Type | Organization
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Legal Business Name | NILES CENTER FOR SIGHT LLC
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Dates
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Enumeration Date | 01/29/2019
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 234 ROBBINS AVE STE C
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City | NILES
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State | OH
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Zip | 44446-1769
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Country | US
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Telephone | 330-951-6674
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Fax |
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Provider Business Mailing Address
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Address Line | 234 ROBBINS AVE STE C
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City | NILES
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State | OH
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Zip | 44446-1769
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Country | US
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Telephone | 330-574-5030
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KENNETH M KUHN
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Credential | OD
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Telephone | 330-574-5030
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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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Taxonomy #2
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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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Taxonomy #3
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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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