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General NPI Number Information
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NPI Number | 1417157751
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Entity Type | Organization
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Legal Business Name | DR. CURTIS EYECARE, PC
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 2155 84TH ST SW
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City | BYRON CENTER
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State | MI
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Zip | 49315-8260
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Country | US
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Telephone | 616-878-3600
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Fax | 616-878-7098
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Provider Business Mailing Address
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Address Line | 2155 84TH ST SW
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City | BYRON CENTER
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State | MI
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Zip | 49315-8260
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Country | US
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Telephone | 616-878-3600
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Fax | 616-878-7098
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Authorized Official
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Title or Position | INSURANCE BILLING
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Name | MRS. TAMARA ANN BELD
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Credential |
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Telephone | 616-878-3600
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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 | 4901002997
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License Number State | MI
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