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General NPI Number Information
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NPI Number | 1851166946
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Entity Type | Organization
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Legal Business Name | NEW VISION O&P LLC
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Dates
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Enumeration Date | 11/17/2023
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 2100 RIVEREDGE PKWY STE 150
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City | ATLANTA
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State | GA
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Zip | 30328-4695
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Country | US
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Telephone | 404-446-4430
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Fax | 404-400-4996
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Provider Business Mailing Address
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Address Line | 2100 RIVEREDGE PKWY STE 150
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City | ATLANTA
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State | GA
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Zip | 30328-4695
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Country | US
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Telephone | 404-446-4430
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Fax | 404-400-4996
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Authorized Official
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Title or Position | CEO
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Name | MS. PAMELA K HALE
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Credential | CPO
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Telephone | 970-389-8434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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