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General NPI Number Information
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NPI Number | 1861609075
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Entity Type | Organization
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Legal Business Name | BARNETT VISION CENTER LLP
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 05/26/2009
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Provider Practice Location Address
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Address Line | 508 MOCCASIN DR
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City | ABERDEEN
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State | SD
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Zip | 57401-5059
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Country | US
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Telephone | 605-225-4046
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Fax | 605-225-9728
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Provider Business Mailing Address
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Address Line | 508 MOCCASIN DR
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City | ABERDEEN
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State | SD
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Zip | 57401-5059
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Country | US
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Telephone | 605-225-4046
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Fax | 605-225-9728
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Authorized Official
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Title or Position | BILLING
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Name | JODI L REMILY
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Credential |
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Telephone | 605-225-4046
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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 | T544
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License Number State | SD
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