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General NPI Number Information
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NPI Number | 1063479426
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Entity Type | Organization
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Legal Business Name | CONROY EYE CARE PC
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 411 S MAIN ST
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City | MILBANK
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State | SD
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Zip | 57252-2424
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Country | US
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Telephone | 605-432-5730
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Fax | 605-432-4324
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Provider Business Mailing Address
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Address Line | 411 S MAIN ST PO BOX 471
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City | MILBANK
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State | SD
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Zip | 57252-2424
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Country | US
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Telephone | 605-432-5730
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Fax | 605-432-4324
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | DR. JOHN ALLEN CONROY
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Credential | OD
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Telephone | 605-432-5730
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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 | SD491
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License Number State | SD
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