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General NPI Number Information
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NPI Number | 1215268131
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Entity Type | Organization
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Legal Business Name | STERLING EYE CARE & SURGERY, P.C.
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 1414 S 3RD AVE
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City | STERLING
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State | CO
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Zip | 80751-4650
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Country | US
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Telephone | 970-522-7741
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Fax | 970-522-7791
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Provider Business Mailing Address
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Address Line | 1414 S 3RD AVE
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City | STERLING
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State | CO
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Zip | 80751-4650
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Country | US
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Telephone | 970-522-7741
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Fax | 970-522-7791
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Authorized Official
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Title or Position | OWNER
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Name | DR. J. KEVIN BELVILLE
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Credential | MD
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Telephone | 970-522-7741
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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 | DR29549
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License Number State | CO
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