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General NPI Number Information
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NPI Number | 1144429382
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Entity Type | Individual
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Provider Name | EMILY ANN REVIER O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 11150 S TWENTY MILE RD
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City | PARKER
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State | CO
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Zip | 80134-4952
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Country | US
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Telephone | 303-841-7607
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Fax | 303-841-7717
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Provider Business Mailing Address
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Address Line | 12079 BLACKWELL WAY
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City | PARKER
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State | CO
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Zip | 80138
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Country | US
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Telephone | 970-556-3635
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2530
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License Number State | CO
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