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General NPI Number Information
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NPI Number | 1548567522
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Entity Type | Organization
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Legal Business Name | MEDICAL &SURGICAL EYE SPECIALISTS LTD
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Dates
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Enumeration Date | 02/28/2011
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Last Update Date | 03/23/2011
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Provider Practice Location Address
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Address Line | 300 E OSBORN RD 203
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City | PHOENIX
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State | AZ
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Zip | 85012-2325
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Country | US
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Telephone | 602-279-0800
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Fax | 602-234-8494
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Provider Business Mailing Address
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Address Line | 300 E OSBORN RD 203
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City | PHOENIX
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State | AZ
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Zip | 85012-2325
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Country | US
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Telephone | 602-279-0800
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Fax | 602-234-8494
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JAMES R MEADOR JR.
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Credential | M.D.
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Telephone | 602-279-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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