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General NPI Number Information
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NPI Number | 1194179242
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Entity Type | Organization
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Legal Business Name | STEVEN PALEY OD, INC.
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 04/15/2016
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Provider Practice Location Address
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Address Line | 1280 GAIL GARDNER WAY
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City | PRESCOTT
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State | AZ
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Zip | 86305-1641
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Country | US
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Telephone | 928-541-7767
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Fax | 928-541-9873
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Provider Business Mailing Address
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Address Line | 280 ARROYO PINON DR
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City | SEDONA
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State | AZ
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Zip | 86336-5055
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Country | US
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Telephone | 646-408-0036
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Fax | 928-541-9873
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. STEVEN PALEY
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Credential | OD
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Telephone | 646-408-0036
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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 | 2020
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License Number State | AZ
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