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General NPI Number Information
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NPI Number | 1942408737
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW VISION, PC
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 01/26/2023
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Provider Practice Location Address
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Address Line | 7435 SISTERS GROVE SUITE 210
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-2604
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Country | US
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Telephone | 719-380-6808
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Fax | 719-380-5656
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Provider Business Mailing Address
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Address Line | 7435 SISTERS GROVE SUITE 210
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-2604
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Country | US
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Telephone | 719-380-6808
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Fax | 719-380-5656
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MELISSA A TADA
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Credential | O.D.
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Telephone | 719-380-6808
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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 | 2048
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License Number State | CO
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Taxonomy #2
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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 |
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