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General NPI Number Information
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NPI Number | 1346983699
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Entity Type | Organization
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Legal Business Name | BRIAN N STURGILL PLLC
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 04/14/2022
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Provider Practice Location Address
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Address Line | 2900 S PACIFIC AVE
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City | YUMA
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State | AZ
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Zip | 85365-3500
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Country | US
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Telephone | 928-314-0103
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Fax | 928-314-0119
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Provider Business Mailing Address
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Address Line | 4312 E MULBERRY DR
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City | PHOENIX
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State | AZ
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Zip | 85018-6445
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Country | US
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Telephone | 801-472-6652
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. BRIAN N STURGILL
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Credential | OD
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Telephone | 801-472-6652
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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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