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General NPI Number Information
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NPI Number | 1598863029
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Entity Type | Organization
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Legal Business Name | CHEAPER PEEPERS LLC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 05/31/2012
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Provider Practice Location Address
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Address Line | 525 BLUE LAKES BLVD N
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City | TWIN FALLS
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State | ID
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Zip | 83301-4034
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Country | US
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Telephone | 208-735-2244
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Fax | 208-737-9854
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Provider Business Mailing Address
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Address Line | 525 BLUE LAKES BLVD N
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City | TWIN FALLS
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State | ID
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Zip | 83301-4034
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Country | US
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Telephone | 208-735-2244
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Fax | 208-737-9854
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Authorized Official
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Title or Position | CORPORATE SECRETARY
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Name | SHIRLENE TRANMER
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Credential |
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Telephone | 208-734-3937
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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 | ODP100141
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License Number State | ID
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