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General NPI Number Information
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NPI Number | 1376764555
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Entity Type | Individual
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Provider Name | JOSEPH HENRY PARTTE JR. ASSOCIATE DEGDREE
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1061-A SOUTH PLAZA WAY
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City | FLAGSTAFF
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State | AZ
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Zip | 86001
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Country | US
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Telephone | 928-779-0398
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Fax | 928-774-4324
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Provider Business Mailing Address
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Address Line | 507 W. PHILOMENA DR
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City | FLAGSTAFF
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State | AZ
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Zip | 86001
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Country | US
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Telephone | 928-774-1536
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 622
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License Number State | AZ
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