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General NPI Number Information
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NPI Number | 1558090068
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Entity Type | Organization
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Legal Business Name | ABC EYE CARE PLLC
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 07/14/2022
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Provider Practice Location Address
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Address Line | 655 SOUTH FEDERAL BLVD. UNIT D AND E
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City | DENVER
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State | CO
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Zip | 80219
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Country | US
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Telephone | 720-812-9004
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Fax | 720-812-9005
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Provider Business Mailing Address
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Address Line | 3233 ELIOT ST APT 219
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City | DENVER
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State | CO
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Zip | 80211-2874
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MATTHEW ASMAN
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Credential |
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Telephone | 712-380-3434
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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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