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General NPI Number Information
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NPI Number | 1144435207
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Entity Type | Organization
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Legal Business Name | REYNOLDS & ANLIKER EYE PHYSICIANS & SURGEONS, PA
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 04/12/2013
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Provider Practice Location Address
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Address Line | 1602 W 15TH AVE STE B
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City | EMPORIA
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State | KS
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Zip | 66801-5672
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Country | US
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Telephone | 620-342-6989
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Fax | 620-342-2262
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Provider Business Mailing Address
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Address Line | 1602 W 15TH AVE STE B
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City | EMPORIA
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State | KS
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Zip | 66801-5672
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Country | US
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Telephone | 620-342-6989
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Fax | 620-342-2262
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Authorized Official
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Title or Position | OWNER OPHTHALMOLOGIST
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Name | MICHAEL G REYNOLDS
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Credential | MD
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Telephone | 620-342-6989
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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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