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NPI 1104051655

NPI 1104051655 : SHARPER VISION, P.A. : LENEXA, KS

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General NPI Number Information
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    NPI Number           |    1104051655
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    Entity Type          |    Organization 
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    Legal Business Name  |    SHARPER VISION, P.A. 
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Dates
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    Enumeration Date     |    05/27/2009
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    Last Update Date     |    09/09/2014
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Provider Practice Location Address
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    Address Line         |    23351 PRAIRIE STAR PKWY SUITEA-275
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    City                 |    LENEXA
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    State                |    KS
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    Zip                  |    66227-6201
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    Country              |    US
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    Telephone            |    913-787-6724
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    Fax                  |    913-273-1210
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Provider Business Mailing Address
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    Address Line         |    11184 ANTIOCH RD SUITE 356
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    City                 |    OVERLAND PARK
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    State                |    KS
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    Zip                  |    66210-2420
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    Country              |    US
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    Telephone            |    913-787-6724
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    Fax                  |    913-273-1210
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. AARON ROBERT FLORKOWSKI 
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    Credential           |    MD
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    Telephone            |    913-787-6724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    04 30820
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    License Number State |    KS
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