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NPI 1790025583

NPI 1790025583 : RPM VISION INDUSTRIES : MIDLAND, TX

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General NPI Number Information
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    NPI Number           |    1790025583
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    Entity Type          |    Organization 
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    Legal Business Name  |    RPM VISION INDUSTRIES 
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Dates
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    Enumeration Date     |    02/15/2013
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    Last Update Date     |    03/01/2013
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Provider Practice Location Address
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    Address Line         |    4400 N MIDLAND DR STE 403 
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    City                 |    MIDLAND
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    State                |    TX
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    Zip                  |    79707-3388
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    Country              |    US
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    Telephone            |    432-695-6259
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    Fax                  |    432-695-6260
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Provider Business Mailing Address
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    Address Line         |    4400 N MIDLAND DR STE 403 
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    City                 |    MIDLAND
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    State                |    TX
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    Zip                  |    79707-3388
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    Country              |    US
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    Telephone            |    432-695-6259
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    Fax                  |    432-695-6260
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Authorized Official
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    Title or Position    |    OWNER/OPTICIAN
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    Name                 |    MR. PAUL  GARZA 
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    Credential           |    
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    Telephone            |    432-695-6259
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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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