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General NPI Number Information
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NPI Number | 1396398442
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Entity Type | Organization
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Legal Business Name | BIG SKY EYES PC
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Dates
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Enumeration Date | 07/18/2019
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Last Update Date | 10/11/2019
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Provider Practice Location Address
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Address Line | 99 TOWN CENTER AVE, UNIT #A6
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City | BIG SKY
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State | MT
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Zip | 59716-0700
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Country | US
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Telephone | 406-414-0006
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Fax | 406-414-0004
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Provider Business Mailing Address
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Address Line | 99 TOWN CENTER AVE, UNIT #A6 P.O. BOX # 160700
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City | BIG SKY
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State | MT
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Zip | 59716
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Country | US
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Telephone | 406-414-0006
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. ERICA PERLMAN - HENSEN
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Credential | OD
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Telephone | 909-576-6398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 152WS0006X
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Taxonomy Name | Sports Vision Optometrist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 152WX0102X
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Taxonomy Name | Occupational Vision Optometrist
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License Number |
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License Number State |
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Taxonomy #6
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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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