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General NPI Number Information
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NPI Number | 1598563314
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Entity Type | Organization
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Legal Business Name | FLYING EYE PLLC
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Dates
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Enumeration Date | 03/06/2025
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 112 S VINSON AVE
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City | LOUISA
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State | KY
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Zip | 41230-1155
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Country | US
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Telephone | 859-277-2692
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Fax | 859-277-9275
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Provider Business Mailing Address
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Address Line | 1401 HARRODSBURG RD STE B290
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City | LEXINGTON
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State | KY
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Zip | 40504-1730
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Country | US
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Telephone | 859-277-2692
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Fax | 859-277-9275
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | SHERRI ANN DOOLIN
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Credential |
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Telephone | 859-338-8590
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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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