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General NPI Number Information
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NPI Number | 1093868572
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Entity Type | Organization
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Legal Business Name | CANYONVIEW FAMILY EYE CARE LLC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 12/01/2008
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Provider Practice Location Address
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Address Line | 4309 W 27TH PLACE SUITE 102
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City | KENNEWICK
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State | WA
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Zip | 99338
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Country | US
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Telephone | 509-737-2010
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Fax | 509-737-2012
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Provider Business Mailing Address
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Address Line | 4309 W 27TH PLACE SUITE 102
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City | KENNEWICK
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State | WA
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Zip | 99338
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Country | US
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Telephone | 509-737-2010
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Fax | 509-737-2012
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Authorized Official
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Title or Position | OWNER
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Name | DR. KARL B CZIRR
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Credential | O.D.
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Telephone | 509-737-2010
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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 | 3567TX
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License Number State | WA
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