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NPI 1023035821

NPI 1023035821 : ASSOCIATES IN FAMILY EYECARE, INC : LOVELAND, CO

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General NPI Number Information
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    NPI Number           |    1023035821
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASSOCIATES IN FAMILY EYECARE, INC 
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Dates
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    Enumeration Date     |    07/16/2006
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    Last Update Date     |    05/11/2017
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Provider Practice Location Address
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    Address Line         |    2249 W EISENHOWER BLVD 
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    City                 |    LOVELAND
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    State                |    CO
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    Zip                  |    80537-3147
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    Country              |    US
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    Telephone            |    970-669-4587
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    Fax                  |    970-669-4588
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Provider Business Mailing Address
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    Address Line         |    2249 W EISENHOWER BLVD 
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    City                 |    LOVELAND
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    State                |    CO
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    Zip                  |    80537-3147
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    Country              |    US
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    Telephone            |    970-669-4587
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    Fax                  |    970-669-4588
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |    MS. TERI  DUTTON 
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    Credential           |    
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    Telephone            |    970-669-4587
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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       |    
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    License Number State |    
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