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General NPI Number Information
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NPI Number | 1811481849
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Entity Type | Organization
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Legal Business Name | UNLIMITED VISION SERVICES
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Dates
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Enumeration Date | 06/22/2018
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Last Update Date | 06/22/2018
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Provider Practice Location Address
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Address Line | 5263 VILLA ROSE AVE
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City | SAINT CLOUD
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State | FL
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Zip | 34771
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Country | US
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Telephone | 407-860-8950
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Fax |
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Provider Business Mailing Address
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Address Line | 5263 VILLA ROSE AVE
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City | SAINT CLOUD
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State | FL
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Zip | 34771
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Country | US
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Telephone | 407-860-8950
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. LYDIA SANTIAGO
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Credential | BA
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Telephone | 407-860-8950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State | FL
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