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General NPI Number Information
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NPI Number | 1578781258
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Entity Type | Organization
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Legal Business Name | BRINKENHOFF EYE MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 09/26/2007
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Provider Practice Location Address
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Address Line | 231 N DOS CAMINOS AVE
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City | VENTURA
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State | CA
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Zip | 93003-1660
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Country | US
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Telephone | 805-648-2849
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Fax | 805-648-5261
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Provider Business Mailing Address
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Address Line | 231 N DOS CAMINOS AVE
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City | VENTURA
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State | CA
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Zip | 93003-1660
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Country | US
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Telephone | 805-648-2849
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Fax | 805-648-5261
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Authorized Official
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Title or Position | CEO, OWNER
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Name | DR. MICHAEL CURT BRINKENHOFF
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Credential | M.D.
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Telephone | 805-648-2849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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