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General NPI Number Information
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NPI Number | 1760868525
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Entity Type | Organization
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Legal Business Name | ZANESVILLE VISION CARE LLC
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 71 E MAIN ST
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City | MCCONNELSVILLE
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State | OH
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Zip | 43756-1180
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Country | US
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Telephone | 740-962-4281
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Fax | 740-962-5741
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Provider Business Mailing Address
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Address Line | 71 E MAIN ST
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City | MCCONNELSVILLE
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State | OH
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Zip | 43756-1180
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Country | US
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Telephone | 740-962-4281
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Fax | 740-962-5741
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHIRLEY R BELLVILLE
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Credential |
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Telephone | 740-453-1611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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