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General NPI Number Information
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NPI Number | 1811154024
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Entity Type | Organization
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Legal Business Name | TOWNE VISION CENTER,LTD
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 10/30/2008
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Provider Practice Location Address
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Address Line | 7105 GRAND AVE SUITE 2E
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City | GURNEE
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State | IL
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Zip | 60031-1604
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Country | US
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Telephone | 847-855-8300
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Fax | 847-855-8533
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Provider Business Mailing Address
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Address Line | 7105 GRAND AVE SUITE 2E
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City | GURNEE
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State | IL
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Zip | 60031
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Country | US
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Telephone | 847-855-8300
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Fax | 847-855-8533
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SANDY SAYCHALEUNE
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Credential | OD
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Telephone | 847-855-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 046008961
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License Number State | IL
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