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General NPI Number Information
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NPI Number | 1457444200
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Entity Type | Individual
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Provider Name | WILLIAM RAE ADLER OD
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 12/29/2009
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Provider Practice Location Address
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Address Line | 6584 165TH ST BOX 100
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City | ALBIA
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State | IA
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Zip | 52531-0100
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Country | US
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Telephone | 641-932-7614
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Fax | 641-932-3372
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Provider Business Mailing Address
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Address Line | PO BOX 100 6584 165TH STREET
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City | ALBIA
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State | IA
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Zip | 52531-0100
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Country | US
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Telephone | 641-932-7614
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Fax | 641-932-3372
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 1561
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License Number State | IA
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