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General NPI Number Information
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NPI Number | 1346264751
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Entity Type | Organization
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Legal Business Name | FIELD OCULAR PROTHETICS LLC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 12/06/2013
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Provider Practice Location Address
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Address Line | 3752 E FLAMINGO RD
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City | LAS VEGAS
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State | NV
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Zip | 89121-4921
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Country | US
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Telephone | 702-451-3006
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Fax | 702-454-3937
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Provider Business Mailing Address
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Address Line | 3752 E FLAMINGO RD
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City | LAS VEGAS
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State | NV
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Zip | 89121-4921
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Country | US
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Telephone | 702-451-3006
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Fax | 702-454-3937
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MRS. JOAN E FIELD
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Credential |
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Telephone | 702-451-3006
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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 | 1000300-424
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License Number State | NV
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