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General NPI Number Information
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NPI Number | 1396352100
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Entity Type | Organization
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Legal Business Name | WRB OPTICAL, LLC
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Dates
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Enumeration Date | 09/25/2020
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Last Update Date | 09/25/2020
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Provider Practice Location Address
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Address Line | 8201 S 40TH ST
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City | LINCOLN
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State | NE
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Zip | 68516-3005
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Country | US
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Telephone | 402-423-9155
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Fax |
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Provider Business Mailing Address
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Address Line | 8201 S 40TH ST
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City | LINCOLN
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State | NE
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Zip | 68516-3005
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Country | US
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Telephone | 402-450-4700
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. WHITNEY RENAE BROWN
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Credential | OD
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Telephone | 402-450-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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