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General NPI Number Information
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NPI Number | 1841478989
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Entity Type | Organization
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Legal Business Name | DOWNTOWN VISION CENTER
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Dates
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Enumeration Date | 01/31/2008
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 213 MARKET AVE N SUITE 100
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City | CANTON
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State | OH
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Zip | 44702-1443
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Country | US
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Telephone | 330-453-0620
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Fax | 330-453-0628
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Provider Business Mailing Address
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Address Line | 213 MARKET AVE N SUITE 100
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City | CANTON
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State | OH
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Zip | 44702-1443
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Country | US
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Telephone | 330-453-0620
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Fax | 330-453-0628
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARK MASON
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Credential | O.D.
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Telephone | 330-499-1494
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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 | OH5196
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License Number State | OH
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