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General NPI Number Information
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NPI Number | 1316122278
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Entity Type | Organization
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Legal Business Name | WILEY F. CURTIS, O.D., P.C.
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 1334 E PIONEER PKWY
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City | ARLINGTON
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State | TX
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Zip | 76010-6411
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Country | US
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Telephone | 814-461-4453
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Fax | 817-861-2516
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Provider Business Mailing Address
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Address Line | 1334 E PIONEER PKWY
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City | ARLINGTON
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State | TX
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Zip | 76010-6411
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Country | US
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Telephone | 814-461-4453
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Fax | 817-861-2516
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Authorized Official
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Title or Position | PRESIDENT
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Name | WILEY F. CURTIS
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Credential | O.D.
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Telephone | 817-461-4453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 3023TG
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License Number State | TX
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