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General NPI Number Information
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NPI Number | 1801068036
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Entity Type | Organization
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Legal Business Name | VHP INC
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 246 HAWTHORN VILLAGE COMM
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City | VERNON HILLS
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State | IL
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Zip | 60061-1519
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Country | US
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Telephone | 847-680-9160
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Fax | 847-680-7358
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Provider Business Mailing Address
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Address Line | 246 HAWTHORN VILLAGE CMNS
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City | VERNON HILLS
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State | IL
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Zip | 60061-1519
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Country | US
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Telephone | 847-680-9160
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Fax | 847-680-7358
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Authorized Official
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Title or Position | OD
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Name | DR. MAX ROSE
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Credential |
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Telephone | 847-680-9160
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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 | 54800924020815200246
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License Number State | IL
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