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General NPI Number Information
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NPI Number | 1376415059
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW EYECARE LLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 286 16TH ST
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City | BURLINGTON
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State | CO
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Zip | 80807-1651
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Country | US
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Telephone | 719-346-5311
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Fax | 303-690-6736
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Provider Business Mailing Address
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Address Line | 14307 DOUBLE DUTCH CIR
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City | PARKER
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State | CO
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Zip | 80134-8909
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Country | US
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Telephone | 720-419-9923
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Fax | 303-690-6736
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JORDAN MAX PAUL
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Credential | OD
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Telephone | 720-419-9923
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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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