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General NPI Number Information
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NPI Number | 1942480090
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Entity Type | Organization
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Legal Business Name | VAPEC, LLC
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 508 HIGHWAY 72 BYPASS
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City | GREENWOOD
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State | SC
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Zip | 29649-1300
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Country | US
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Telephone | 864-388-9663
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Fax | 864-388-9662
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Provider Business Mailing Address
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Address Line | 508 HIGHWAY 72 BYPASS
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City | GREENWOOD
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State | SC
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Zip | 29649-1300
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Country | US
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Telephone | 864-388-9663
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Fax | 864-388-9662
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY C MAGUN
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Credential | OD
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Telephone | 864-388-9663
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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 | 488
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License Number State | SC
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