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General NPI Number Information
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NPI Number | 1831869668
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Entity Type | Organization
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Legal Business Name | VISION INNOVATION CENTERS OF PENNSYLVANIA LLC
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 7160 MASON DIXON HWY
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City | MEYERSDALE
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State | PA
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Zip | 15552-7288
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Country | US
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Telephone | 814-972-6678
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Fax |
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Provider Business Mailing Address
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Address Line | 703 RUTTER AVE
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City | KINGSTON
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State | PA
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Zip | 18704-4801
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIA C SCOTT
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Credential |
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Telephone | 410-571-7998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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