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General NPI Number Information
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NPI Number | 1275306714
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Entity Type | Organization
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Legal Business Name | DR ELIZABETH HUNDELT PLLC DBA GENERATIONS EYECARE
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 4502 E OAK ST
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City | PHOENIX
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State | AZ
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Zip | 85008-2411
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Country | US
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Telephone | 602-508-1689
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Fax |
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Provider Business Mailing Address
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Address Line | 3931 E GLENROSA AVE
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City | PHOENIX
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State | AZ
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Zip | 85018-4808
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Country | US
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Telephone | 602-295-3635
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Fax |
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Authorized Official
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Title or Position | OWNER/SOLE MEMBER
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Name | ELIZABETH HUNDELT
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Credential | OD
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Telephone | 602-295-3635
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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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