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General NPI Number Information
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NPI Number | 1265580898
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Entity Type | Organization
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Legal Business Name | HAWKEYE CLINIC OF LUVERNE, PC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 104 N FREEMAN AVE
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City | LUVERNE
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State | MN
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Zip | 56156-1628
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Country | US
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Telephone | 507-283-2345
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Fax | 507-283-2346
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Provider Business Mailing Address
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Address Line | 102 N FREEMAN AVE
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City | LUVERNE
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State | MN
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Zip | 56156-1628
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Country | US
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Telephone | 507-283-2345
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Fax | 507-283-2346
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Authorized Official
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Title or Position | INSURANCE COORDINATOR
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Name | CHRIS K LOOSBROCK
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Credential |
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Telephone | 507-283-2345
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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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