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General NPI Number Information
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NPI Number | 1578131199
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Entity Type | Organization
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Legal Business Name | ONE HOUR OPTICAL MEDICAL SERVICES, PC
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Dates
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Enumeration Date | 06/11/2021
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Last Update Date | 06/11/2021
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Provider Practice Location Address
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Address Line | 8547 E ARAPAHOE RD UNIT H
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80112-1430
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Country | US
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Telephone | 303-741-0446
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 E CAMPBELL ROAD SUITE 108 PMB 679402
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City | RICHARDSON
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State | TX
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Zip | 75081
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Country | US
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Telephone | 618-462-9818
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Fax | 314-741-4947
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Authorized Official
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Title or Position | OWNER
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Name | STACY LYNN HIEB
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Credential | OD
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Telephone | 303-487-4432
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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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