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General NPI Number Information
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NPI Number | 1558320325
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Entity Type | Organization
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Legal Business Name | BOOZMAN-HOF REGIONAL EYE CLINIC PA
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 3737 W WALNUT ST
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City | ROGERS
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State | AR
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Zip | 72756-1839
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Country | US
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Telephone | 479-246-1730
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Fax | 479-936-8799
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Provider Business Mailing Address
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Address Line | 3737 W WALNUT ST
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City | ROGERS
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State | AR
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Zip | 72756-1839
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Country | US
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Telephone | 479-246-1700
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Fax | 479-631-2629
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Authorized Official
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Title or Position | MANAGER
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Name | SUSAN L WADE
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Credential |
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Telephone | 316-619-3277
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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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