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General NPI Number Information
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NPI Number | 1861099368
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Entity Type | Organization
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Legal Business Name | VERITY VISION LLC
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Dates
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Enumeration Date | 10/07/2020
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Last Update Date | 10/26/2020
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Provider Practice Location Address
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Address Line | 7700 E KELLOGG DR
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City | WICHITA
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State | KS
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Zip | 67207-1772
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Country | US
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Telephone | 316-512-1171
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Fax |
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Provider Business Mailing Address
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Address Line | 6 LAKEWOOD DR
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City | GODDARD
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State | KS
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Zip | 67052-9256
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Country | US
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Telephone | 316-304-2248
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | ALISA NOLA
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Credential | OD
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Telephone | 316-304-2248
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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 |
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License Number State |
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