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General NPI Number Information
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NPI Number | 1871775973
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Entity Type | Organization
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Legal Business Name | ACUVISION INC.
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 1726 E SOUTHERN AVE SUITE 6
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City | TEMPE
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State | AZ
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Zip | 85282-5686
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Country | US
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Telephone | 480-839-3711
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Fax | 480-456-3359
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Provider Business Mailing Address
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Address Line | 1726 E SOUTHERN AVE SUITE 6
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City | TEMPE
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State | AZ
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Zip | 85282-5686
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Country | US
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Telephone | 480-839-3711
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Fax | 480-456-3359
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERT SISSON BUSCH
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Credential |
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Telephone | 480-839-3711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 286
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License Number State | AZ
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