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General NPI Number Information
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NPI Number | 1356669477
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Entity Type | Organization
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Legal Business Name | FLIR INC
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Dates
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Enumeration Date | 05/13/2010
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Last Update Date | 09/24/2010
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Provider Practice Location Address
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Address Line | 1027 S RAINBOW BLVD STE 308
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City | LAS VEGAS
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State | NV
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Zip | 89145-6232
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Country | US
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Telephone | 307-203-9239
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Fax |
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Provider Business Mailing Address
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Address Line | 622 N 900 E
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City | SPANISH FORK
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State | UT
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Zip | 84660-1695
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Country | US
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Telephone | 307-203-9239
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Fax |
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Authorized Official
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Title or Position | FAMILY PRACTICE/PLASTIC SURGERY
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Name | STEPHEN J BRUCE
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Credential | M.D.,
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Telephone | 307-203-9239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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