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General NPI Number Information
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NPI Number | 1740858281
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Entity Type | Organization
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Legal Business Name | NEWVISIONS,O.D.P.C
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Dates
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Enumeration Date | 06/11/2021
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 7562 S UNIVERSITY BLVD STE I
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City | CENTENNIAL
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State | CO
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Zip | 80122-3160
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Country | US
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Telephone | 303-773-2020
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Fax | 303-773-2832
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Provider Business Mailing Address
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Address Line | 7562 S UNIVERSITY BLVD STE I
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City | CENTENNIAL
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State | CO
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Zip | 80122-3160
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Country | US
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Telephone | 303-773-2020
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Fax | 303-773-2832
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID REID CLAUSEN
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Credential | OPTOMETRIST
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Telephone | 303-773-2020
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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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