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General NPI Number Information
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NPI Number | 1598957524
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Entity Type | Organization
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Legal Business Name | STEVEN A. BRYANT, O.D.
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 119 W 7TH ST
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City | CONCORDIA
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State | KS
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Zip | 66901-2801
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Country | US
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Telephone | 785-243-2175
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Fax | 785-243-4370
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Provider Business Mailing Address
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Address Line | 119 W 7TH ST
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City | CONCORDIA
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State | KS
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Zip | 66901-2801
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Country | US
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Telephone | 785-243-2175
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Fax | 785-243-4370
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. STEVEN ALLAN BRYANT
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Credential | O.D.
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Telephone | 785-243-2175
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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 | 1420-3
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License Number State | KS
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