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General NPI Number Information
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NPI Number | 1881701134
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Entity Type | Organization
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Legal Business Name | VITTORIA INC
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 09/17/2008
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Provider Practice Location Address
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Address Line | 300 NEEDHAM ST
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City | NEWTON
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State | MA
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Zip | 02464-1512
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Country | US
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Telephone | 617-965-2540
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Fax |
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Provider Business Mailing Address
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Address Line | 300 NEEDHAM ST
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City | NEWTON
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State | MA
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Zip | 02464-1512
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Country | US
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Telephone | 617-965-2540
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Fax |
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Authorized Official
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Title or Position | FRANCHISE OWNER
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Name | MR. RUSSELL THOMAS D'ARGENTO
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Credential | OPTICIAN
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Telephone | 617-965-2540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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