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General NPI Number Information
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NPI Number | 1568513786
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Entity Type | Organization
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Legal Business Name | DEER OPTICAL
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8500 W MARKHAM ST STE 133
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City | LITTLE ROCK
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State | AR
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Zip | 72205-2454
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Country | US
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Telephone | 501-224-4359
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Fax | 501-224-1003
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Provider Business Mailing Address
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Address Line | 8500 W MARKHAM ST STE 133
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City | LITTLE ROCK
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State | AR
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Zip | 72205-2454
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Country | US
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Telephone | 501-224-4359
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Fax | 501-224-1003
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SHERRI LYNN PAUL
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Credential |
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Telephone | 501-224-4359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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