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General NPI Number Information
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NPI Number | 1962801878
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Entity Type | Organization
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Legal Business Name | THE ASSOCIATION FOR THE BLIND AND VISUALLY IMPAIRED - GOODWILL INDUSTR
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Dates
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Enumeration Date | 08/15/2014
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Last Update Date | 08/15/2014
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Provider Practice Location Address
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Address Line | 500 S CLINTON AVE
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City | ROCHESTER
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State | NY
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Zip | 14620-1198
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Country | US
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Telephone | 585-232-1111
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Fax | 585-232-2972
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Provider Business Mailing Address
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Address Line | 422 CLINTON AVE S
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City | ROCHESTER
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State | NY
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Zip | 14620-1103
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Country | US
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Telephone | 585-232-1111
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Fax | 585-232-2972
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | ARLENE (GIDGET) R HOPF
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Credential | ED.D
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Telephone | 585-697-5777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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