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General NPI Number Information
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NPI Number | 1467216861
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Entity Type | Organization
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Legal Business Name | RIVER VIEW EYE SPECIALISTS PLLC
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 12/08/2024
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Provider Practice Location Address
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Address Line | 1415 PARK VIEW DR
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City | TWIN FALLS
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State | ID
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Zip | 83301-3250
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Country | US
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Telephone | 208-734-8934
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 PARK VIEW DR
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City | TWIN FALLS
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State | ID
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Zip | 83301-3250
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Country | US
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Telephone | 208-933-2540
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. KYLE RICHMAN
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Credential |
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Telephone | 208-933-2540
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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 |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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