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General NPI Number Information
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NPI Number | 1013132158
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Entity Type | Organization
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Legal Business Name | BARNET DULANEY PERKINS EYE CENTER
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 1680 WILLOW CREEK ROAD BARNET DULANEY PERKINS EYE CENTER
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City | PRESCOTT
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State | AZ
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Zip | 86301
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Country | US
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Telephone | 602-955-1000
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Fax | 602-508-4830
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Provider Business Mailing Address
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Address Line | 4800 N. 22ND STREET BARNET DULANEY PERKINS EYE CENTER
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City | PHOENIX
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State | AZ
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Zip | 85016
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Country | US
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Telephone | 602-955-1000
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Fax | 602-508-4830
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Authorized Official
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Title or Position | CFO
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Name | DONALD G SNYDER
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Credential |
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Telephone | 602-955-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | OSC1286
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License Number State | AZ
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