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General NPI Number Information
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NPI Number | 1851358642
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Entity Type | Organization
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Legal Business Name | CAPITAL VISION CENTER INC
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 4854 LONDONDERRY RD
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City | HARRISBURG
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State | PA
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Zip | 17109-5207
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Country | US
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Telephone | 717-657-3682
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Fax |
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Provider Business Mailing Address
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Address Line | 4854 LONDONDERRY RD
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City | HARRISBURG
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State | PA
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Zip | 17109-5207
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Country | US
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Telephone | 717-657-3682
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. MARIO SARACINO
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Credential | O.D., M.S.
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Telephone | 717-657-3682
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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 | OEG000015
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG001502
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License Number State | PA
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