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General NPI Number Information
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NPI Number | 1841341898
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Entity Type | Organization
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Legal Business Name | VISUAL EDGE, INC
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | W 385 WEST MARKET MALL OF AMERICA
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City | BLOOMINGTON
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State | MN
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Zip | 55425
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Country | US
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Telephone | 952-854-4500
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Fax | 952-858-8525
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Provider Business Mailing Address
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Address Line | W 385 WEST MARKET MALL OF AMERICA
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City | BLOOMINGTON
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State | MN
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Zip | 55425
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Country | US
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Telephone | 952-854-4500
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Fax | 952-858-8525
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSEPH ZWEBER
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Credential |
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Telephone | 952-345-5044
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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 | 1068294
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License Number State | MN
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