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General NPI Number Information
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NPI Number | 1295913002
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Entity Type | Organization
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Legal Business Name | HR OPTICAL INC
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Dates
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Enumeration Date | 02/04/2008
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Last Update Date | 05/24/2013
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Provider Practice Location Address
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Address Line | 246 POPLAR AVE STE 1
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City | SOMERSET
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State | KY
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Zip | 42503-1701
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Country | US
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Telephone | 606-679-8469
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Fax | 606-678-8891
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Provider Business Mailing Address
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Address Line | 246 POPLAR AVE SUITE 1
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City | SOMERSET
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State | KY
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Zip | 42503-1701
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Country | US
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Telephone | 606-679-8469
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Fax | 606-678-8891
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Authorized Official
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Title or Position | OPTICIAN
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Name | SHEILA K REYNOLDS
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Credential |
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Telephone | 606-679-8469
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 929
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License Number State | KY
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