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General NPI Number Information
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NPI Number | 1851110332
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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 | 10/10/2024
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 4100 LINGLESTOWN RD
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City | HARRISBURG
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State | PA
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Zip | 17112-1071
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Country | US
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Telephone | 717-657-2020
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Fax | 717-657-2071
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Provider Business Mailing Address
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Address Line | 2661 RIVA RD STE 1030
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City | ANNAPOLIS
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State | MD
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Zip | 21401-7131
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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 | CFO
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Name | MICHAEL PASCETTA
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Credential |
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Telephone | 860-652-5002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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