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General NPI Number Information
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NPI Number | 1376893362
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Entity Type | Organization
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Legal Business Name | EYRIE ENTERPRISES INC.
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Dates
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Enumeration Date | 09/17/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8502 N GREEN HILLS RD
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City | KANSAS CITY
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State | MO
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Zip | 64154-1403
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Country | US
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Telephone | 816-741-3937
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Fax | 816-741-8801
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Provider Business Mailing Address
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Address Line | 8502 N GREEN HILLS RD
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City | KANSAS CITY
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State | MO
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Zip | 64154-1403
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Country | US
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Telephone | 816-741-3937
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Fax | 816-741-8801
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RANDAL SCOTT SMITH
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Credential |
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Telephone | 816-741-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State | MO
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