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General NPI Number Information
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NPI Number | 1568999225
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Entity Type | Organization
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Legal Business Name | SABRE AYERS WRIGHT, OD PLLC
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Dates
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Enumeration Date | 05/12/2017
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Last Update Date | 05/12/2017
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Provider Practice Location Address
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Address Line | 519 N WILLOW ST
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City | HARRISON
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State | AR
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Zip | 72601-3518
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Country | US
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Telephone | 870-741-2787
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Fax | 870-741-6714
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Provider Business Mailing Address
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Address Line | 519 N WILLOW ST
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City | HARRISON
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State | AR
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Zip | 72601-3518
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Country | US
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Telephone | 870-741-2787
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Fax | 870-741-6714
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Authorized Official
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Title or Position | PRESIDENT
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Name | SABRE AYERS WRIGHT
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Credential | OD
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Telephone | 870-741-2787
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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 | 2445
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License Number State | AR
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