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General NPI Number Information
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NPI Number | 1255076436
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Entity Type | Organization
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Legal Business Name | COMMUNITY EYE CARE
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Dates
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Enumeration Date | 05/02/2022
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 5721 LOGAN ST
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City | DENVER
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State | CO
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Zip | 80216-1323
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Country | US
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Telephone | 720-722-3377
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Fax |
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Provider Business Mailing Address
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Address Line | 4985 MOORHEAD AVE UNIT 3718
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City | BOULDER
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State | CO
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Zip | 80305-5522
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Country | US
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Telephone | 720-722-3377
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Fax | 720-596-8856
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | MISS TING ZHANG
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Credential | OD, FAAO
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Telephone | 720-722-3377
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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 |
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License Number State |
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