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General NPI Number Information
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NPI Number | 1922311760
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Entity Type | Organization
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Legal Business Name | LYNCHBURG VISION ASSOCIATES PC
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 01/27/2011
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Provider Practice Location Address
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Address Line | 3900 WARDS RD
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City | LYNCHBURG
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State | VA
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Zip | 24502-2942
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Country | US
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Telephone | 434-832-1352
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Fax | 434-832-1353
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Provider Business Mailing Address
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Address Line | 112 LAMBETH CT
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City | LYNCHBURG
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State | VA
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Zip | 24503-2145
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Country | US
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Telephone | 434-426-0216
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Fax | 434-832-1353
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. PAUL CHOPRA
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Credential | O.D.
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Telephone | 434-832-1352
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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 | 0618001865
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License Number State | VA
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