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General NPI Number Information
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NPI Number | 1174249833
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Entity Type | Organization
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Legal Business Name | EYE PHYSICIANS, P.C.
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Dates
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Enumeration Date | 10/14/2022
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Last Update Date | 10/14/2022
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Provider Practice Location Address
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Address Line | 2501 W BENJAMIN AVE
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City | NORFOLK
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State | NE
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Zip | 68701-3119
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Country | US
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Telephone | 402-371-3158
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Fax | 402-371-3466
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Provider Business Mailing Address
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Address Line | PO BOX 1275
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City | COLUMBUS
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State | NE
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Zip | 68602-1275
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Country | US
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Telephone | 402-563-3686
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Fax | 402-563-3084
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Authorized Official
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Title or Position | BILLING / HR
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Name | RUTH A DIEDRICHSEN
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Credential |
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Telephone | 402-563-3686
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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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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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