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General NPI Number Information
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NPI Number | 1225429673
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Entity Type | Organization
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Legal Business Name | NICOLEX LLC DBA MOON VALLEY EYECARE
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Dates
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Enumeration Date | 02/06/2015
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Last Update Date | 02/06/2015
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Provider Practice Location Address
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Address Line | 14435 N 7TH ST STE 104
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City | PHOENIX
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State | AZ
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Zip | 85022-4378
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Country | US
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Telephone | 602-993-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 14435 N 7TH ST STE 104
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City | PHOENIX
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State | AZ
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Zip | 85022-4378
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Country | US
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Telephone | 602-993-2727
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JESSE DOMINGUEZ
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Credential | O.D.
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Telephone | 602-993-2727
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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 | AZ1210
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License Number State | AZ
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