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General NPI Number Information
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NPI Number | 1770972283
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Entity Type | Organization
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Legal Business Name | WEST POINT OPTICAL AKRON
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Dates
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Enumeration Date | 01/21/2015
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Last Update Date | 01/21/2015
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Provider Practice Location Address
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Address Line | 3893 MEDINA RD
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City | AKRON
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State | OH
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Zip | 44333-4547
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Country | US
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Telephone | 330-666-0191
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Fax |
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Provider Business Mailing Address
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Address Line | 3893 MEDINA RD
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City | AKRON
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State | OH
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Zip | 44333-4547
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Country | US
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Telephone | 330-666-0191
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Fax |
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Authorized Official
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Title or Position | STORE GENERAL MANAGER
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Name | CAROL EBERSOLE
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Credential |
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Telephone | 330-666-0191
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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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