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General NPI Number Information
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NPI Number | 1861320855
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Entity Type | Organization
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Legal Business Name | TRUE ESSENCE OPTICAL LLC
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 36 STUMER RD STE 106
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City | RAPID CITY
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State | SD
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Zip | 57701-6420
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Country | US
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Telephone | 605-431-5461
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Fax |
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Provider Business Mailing Address
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Address Line | 36 STUMER RD STE 106
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City | RAPID CITY
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State | SD
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Zip | 57701-6420
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Country | US
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Telephone | 605-431-5461
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTICIAN
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Name | JENNIFER LEE VALENCIA
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Credential |
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Telephone | 605-431-5461
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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