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General NPI Number Information
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NPI Number | 1477591568
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Entity Type | Organization
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Legal Business Name | EYECARE ASSOCIATES OF OSAWATOMIE
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 09/13/2010
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Provider Practice Location Address
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Address Line | 524 BROWN AVE
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City | OSAWATOMIE
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State | KS
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Zip | 66064-1322
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Country | US
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Telephone | 913-256-2176
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Fax | 913-755-2787
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Provider Business Mailing Address
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Address Line | PO BOX 456
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City | OSAWATOMIE
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State | KS
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Zip | 66064-0456
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Country | US
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Telephone | 913-256-2176
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Fax | 913-755-2787
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Authorized Official
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Title or Position | BILLING CLERK
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Name | MISS KATHY J JAMES
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Credential |
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Telephone | 913-256-2176
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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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