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General NPI Number Information
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NPI Number | 1548441777
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Entity Type | Organization
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Legal Business Name | DOCTORS OPTICAL
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Dates
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Enumeration Date | 11/15/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 5150 JOURNAL CENTER BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-5900
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Country | US
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Telephone | 505-262-3370
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Fax | 505-262-3226
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Provider Business Mailing Address
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Address Line | 5150 JOURNAL CENTER BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-5900
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Country | US
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Telephone | 505-262-3370
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Fax | 505-262-3226
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Authorized Official
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Title or Position | MANAGER
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Name | MS. KATRINA B AHMANN
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Credential |
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Telephone | 505-262-3370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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