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General NPI Number Information
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NPI Number | 1205677358
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Entity Type | Organization
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Legal Business Name | SOUTHWESTERN EYE CENTER, LTD
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 06/13/2024
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Provider Practice Location Address
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Address Line | 1920 E BASELINE RD
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City | TEMPE
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State | AZ
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Zip | 85283-1511
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Country | US
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Telephone | 480-833-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 63 S ROCKFORD DR STE 220
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City | TEMPE
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State | AZ
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Zip | 85288-6226
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Country | US
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Telephone | 602-598-7488
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Fax | 602-231-6215
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ARTHUR BROOKFIELD
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Credential |
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Telephone | 602-598-7065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (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 | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207WX0108X
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Taxonomy Name | Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
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License Number |
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License Number State |
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Taxonomy #4
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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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