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General NPI Number Information
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NPI Number | 1437427721
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Entity Type | Organization
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Legal Business Name | TOTAL EYECARE P.C.
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Dates
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Enumeration Date | 12/01/2011
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Last Update Date | 12/01/2011
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Provider Practice Location Address
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Address Line | 2290 KING AVE W
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City | BILLINGS
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State | MT
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Zip | 59102-7415
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Country | US
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Telephone | 406-656-2898
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Fax | 406-655-3424
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Provider Business Mailing Address
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Address Line | PO BOX 80686
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City | BILLINGS
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State | MT
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Zip | 59108-0686
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Country | US
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Telephone | 406-656-2898
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Fax | 406-655-3424
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. MICHELLE JACQUELINE BROWN
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Credential | BSC, BED, OD, FAAO
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Telephone | 406-208-0000
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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 |
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License Number State | MT
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