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General NPI Number Information
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NPI Number | 1063778108
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Entity Type | Organization
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Legal Business Name | ZONA ROSA EYECARE INC
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Dates
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Enumeration Date | 04/03/2012
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Last Update Date | 05/31/2022
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Provider Practice Location Address
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Address Line | 8403 N MERCIER ST
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City | KANSAS CITY
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State | MO
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Zip | 64155-2786
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Country | US
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Telephone | 816-468-1220
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Fax | 816-468-1214
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Provider Business Mailing Address
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Address Line | 8403 N MERCIER ST
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City | KANSAS CITY
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State | MO
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Zip | 64155-2786
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Country | US
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Telephone | 816-468-1220
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Fax | 816-468-1214
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Authorized Official
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Title or Position | MANAGER
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Name | DENISE L. ROYER
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Credential |
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Telephone | 816-854-0448
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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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