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General NPI Number Information
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NPI Number | 1063072007
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Entity Type | Organization
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Legal Business Name | RTB OPTICS
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Dates
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Enumeration Date | 06/20/2019
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Last Update Date | 06/20/2019
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Provider Practice Location Address
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Address Line | 3440 BURNET AVE
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City | CINCINNATI
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State | OH
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Zip | 45229-2843
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Country | US
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Telephone | 513-317-6061
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Fax |
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Provider Business Mailing Address
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Address Line | 2 PRINCETON AVE
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City | FT MITCHELL
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State | KY
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Zip | 41017-2852
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Country | US
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Telephone | 513-317-6061
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RYAN J YAUGER
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Credential |
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Telephone | 513-317-6061
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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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