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General NPI Number Information
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NPI Number | 1023100963
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Entity Type | Individual
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Provider Name | STEVEN L. LABROFF O.D.
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Gender | Male
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 06/05/2009
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Provider Practice Location Address
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Address Line | 2174 E WILLIAMS FIELD RD STE 124
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City | GILBERT
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State | AZ
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Zip | 85295-0745
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Country | US
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Telephone | 480-786-9845
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Fax |
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Provider Business Mailing Address
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Address Line | 12745 E DESERT COVE AVE
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-4320
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Country | US
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Telephone | 480-393-3019
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AZ 1515
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License Number State | AZ
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