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General NPI Number Information
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NPI Number | 1366150021
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Entity Type | Organization
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Legal Business Name | NEU EYECARE, PC
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Dates
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Enumeration Date | 11/11/2022
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Last Update Date | 11/11/2022
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Provider Practice Location Address
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Address Line | 5727 WOODLAND DR
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City | WESTERN SPRINGS
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State | IL
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Zip | 60558-2138
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Country | US
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Telephone | 810-845-4183
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Fax |
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Provider Business Mailing Address
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Address Line | 5727 WOODLAND DR
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City | WESTERN SPRINGS
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State | IL
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Zip | 60558-2138
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Country | US
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Telephone | 810-845-4183
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUKE NEUENFELDT
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Credential | OD
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Telephone | 810-845-4183
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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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