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General NPI Number Information
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NPI Number | 1316198377
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Entity Type | Organization
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Legal Business Name | SEACAT OPTOMETRY INC
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 09/27/2012
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Provider Practice Location Address
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Address Line | 2448 MISSOURI AVE
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City | LAS CRUCES
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State | NM
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Zip | 88001-5109
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Country | US
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Telephone | 575-521-1050
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Fax | 575-532-5070
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Provider Business Mailing Address
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Address Line | 2448 MISSOURI AVE
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City | LAS CRUCES
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State | NM
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Zip | 88001-5109
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Country | US
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Telephone | 575-521-1050
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Fax | 575-532-5070
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN MARK SEACAT
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Credential | O.D.
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Telephone | 575-521-1050
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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 | NM464
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License Number State | NM
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