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General NPI Number Information
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NPI Number | 1568610087
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Entity Type | Individual
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Provider Name | AMBER ARIA OD
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Gender | Female
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 2900 HEARTLAND DR
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City | CORALVILLE
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State | IA
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Zip | 52241-2740
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Country | US
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Telephone | 319-545-3215
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Fax | 319-545-3214
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Provider Business Mailing Address
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Address Line | 2900 HEARTLAND DR
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City | CORALVILLE
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State | IA
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Zip | 52241-2740
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Country | US
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Telephone | 319-545-3215
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Fax | 319-545-3214
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | OPC4292
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA2878
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2291
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD61211822
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 002424
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License Number State | IA
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