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General NPI Number Information
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NPI Number | 1306406236
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Entity Type | Organization
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Legal Business Name | EYES ON HAYDEN, PLLC
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Dates
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Enumeration Date | 06/13/2019
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Last Update Date | 01/28/2020
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Provider Practice Location Address
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Address Line | 8240 N HAYDEN RD STE B100
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-2486
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Country | US
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Telephone | 480-900-2020
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Fax | 480-900-0966
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Provider Business Mailing Address
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Address Line | 8240 N HAYDEN RD STE B100
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-2486
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Country | US
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Telephone | 480-900-2020
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CANDRIA ELYSE KRYWKO
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Credential | OD
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Telephone | 480-900-2020
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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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