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General NPI Number Information
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NPI Number | 1891850590
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Entity Type | Organization
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Legal Business Name | VISIONCARE UNLIMITED, INC.
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Dates
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Enumeration Date | 12/25/2006
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 2901 CLINT MOORE RD SUITE 8
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City | BOCA RATON
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State | FL
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Zip | 33496-2041
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Country | US
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Telephone | 561-241-5665
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Fax | 561-241-5489
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Provider Business Mailing Address
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Address Line | 2901 CLINT MOORE RD SUITE 8
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City | BOCA RATON
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State | FL
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Zip | 33496-2041
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Country | US
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Telephone | 561-241-5665
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Fax | 561-241-5489
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VIVIENNE LAURA ROSENBUSCH
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Credential | OD
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Telephone | 561-241-5665
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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 | 2721
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License Number State | FL
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