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General NPI Number Information
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NPI Number | 1710156302
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Entity Type | Organization
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Legal Business Name | PLEASANT VISION CENTER
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 1554 PLEASANT ST
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City | FALL RIVER
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State | MA
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Zip | 02723-1901
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Country | US
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Telephone | 508-674-6915
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Fax | 508-674-3135
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Provider Business Mailing Address
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Address Line | 1554 PLEASANT ST
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City | FALL RIVER
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State | MA
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Zip | 02723-1901
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Country | US
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Telephone | 508-674-6915
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Fax | 508-674-3135
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. CARLOS A. SOARES
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Credential | R.D.O
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Telephone | 508-674-6915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 4305
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License Number State | MA
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