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General NPI Number Information
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NPI Number | 1720910227
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Entity Type | Individual
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Provider Name | MADISON AMY GIANVITO OD
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Gender | Female
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Dates
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Enumeration Date | 06/01/2026
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Last Update Date | 06/01/2026
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Provider Practice Location Address
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Address Line | 215 W BOWERY ST STE 4500
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City | AKRON
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State | OH
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Zip | 44308-1070
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Country | US
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Telephone | 330-543-5290
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Fax |
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Provider Business Mailing Address
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Address Line | 3320 MAYER DR
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City | MURRYSVILLE
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State | PA
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Zip | 15668-1618
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Country | US
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Telephone | 412-925-7677
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | OPT.007480
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License Number State | OH
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