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General NPI Number Information
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NPI Number | 1114986957
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Entity Type | Organization
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Legal Business Name | PAUL W. HISS, MD, LTD
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2285 GREEN VISTA DR
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City | SPARKS
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State | NV
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Zip | 89431-8532
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Country | US
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Telephone | 775-674-1100
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Fax | 775-674-1114
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Provider Business Mailing Address
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Address Line | 2285 GREEN VISTA DR
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City | SPARKS
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State | NV
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Zip | 89431-8532
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Country | US
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Telephone | 775-674-1100
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Fax | 775-674-1114
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | DOUGLAS K. DEVRIES
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Credential | O.D.
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Telephone | 775-674-1100
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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 |
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License Number State |
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