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General NPI Number Information
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NPI Number | 1518205772
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Entity Type | Organization
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Legal Business Name | ALPINE EYECARE,PC
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Dates
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Enumeration Date | 01/23/2013
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Last Update Date | 01/23/2013
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Provider Practice Location Address
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Address Line | 395 E COLORADO AVE
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City | TELLURIDE
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State | CO
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Zip | 81435
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Country | US
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Telephone | 970-728-4140
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Fax | 970-728-5151
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Provider Business Mailing Address
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Address Line | PO BOX 4169
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City | TELLURIDE
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State | CO
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Zip | 81435-4169
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Country | US
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Telephone | 970-728-4140
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Fax | 970-728-5151
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. VALERIE LORRAINE SHARPE
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Credential | OD
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Telephone | 970-708-4140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 2891
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License Number State | CO
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