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General NPI Number Information
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NPI Number | 1245255074
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Entity Type | Organization
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Legal Business Name | MCNAIR EYE CENTER
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 05/25/2012
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Provider Practice Location Address
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Address Line | 15 INDUSTRIAL PARK RD
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City | HEBER SPRINGS
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State | AR
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Zip | 72543-8533
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Country | US
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Telephone | 501-362-7006
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Fax | 501-362-6451
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Provider Business Mailing Address
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Address Line | 15 INDUSTRIAL PARK ROAD
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City | HEBER SPRINGS
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State | AR
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Zip | 72543
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Country | US
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Telephone | 501-206-2020
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Fax | 501-362-6451
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Authorized Official
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Title or Position | PRESIDENT/OPHTHALMOLOGIST
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Name | DR. JAMES ROGER MCNAIR JR.
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Credential | M.D.
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Telephone | 501-362-7006
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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 | C4213
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License Number State | AR
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