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General NPI Number Information
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NPI Number | 1902938012
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Entity Type | Organization
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Legal Business Name | LANGE AND VIGLUCCI OPTOMETRISTS
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 04/29/2015
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Provider Practice Location Address
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Address Line | 29 N CHENANGO ST
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City | GREENE
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State | NY
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Zip | 13778-1139
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Country | US
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Telephone | 607-656-4485
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Fax | 607-656-4648
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Provider Business Mailing Address
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Address Line | 29 N CHENANGO ST
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City | GREENE
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State | NY
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Zip | 13778-1139
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Country | US
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Telephone | 607-656-4485
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Fax | 607-656-4648
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | CHRIS J VIGLUCCI
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Credential | OD
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Telephone | 607-656-4485
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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 |
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License Number State | NY
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