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General NPI Number Information
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NPI Number | 1831769645
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Entity Type | Organization
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Legal Business Name | PRESTIGE WORLDWIDE VISION, LLC
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Dates
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Enumeration Date | 06/25/2021
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Last Update Date | 06/25/2021
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Provider Practice Location Address
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Address Line | 805 PATRIOT DR STE E
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City | WELLINGTON
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State | OH
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Zip | 44090-8951
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Country | US
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Telephone | 440-647-5700
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Fax | 440-647-5703
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Provider Business Mailing Address
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Address Line | 805 PATRIOT DR STE E
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City | WELLINGTON
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State | OH
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Zip | 44090-8951
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Country | US
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Telephone | 440-647-5700
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Fax | 440-647-5703
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | JULIE E HILL
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Credential | OD
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Telephone | 419-202-8106
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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 |
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License Number State |
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