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General NPI Number Information
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NPI Number | 1912411950
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Entity Type | Organization
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Legal Business Name | HOPE VISION FOUNDATION
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Dates
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Enumeration Date | 11/29/2017
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Last Update Date | 11/29/2017
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Provider Practice Location Address
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Address Line | 2115 S 56TH ST STE 302
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City | TACOMA
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State | WA
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Zip | 98409-6900
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Country | US
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Telephone | 833-228-5501
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Fax |
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Provider Business Mailing Address
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Address Line | 2115 S 56TH ST STE 302
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City | TACOMA
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State | WA
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Zip | 98409-6900
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | GENEVIEVE RODGERS
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Credential |
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Telephone | 833-228-5501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XL0004X
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Taxonomy Name | Low Vision Occupational Therapist
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License Number |
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License Number State |
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