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General NPI Number Information
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NPI Number | 1619272333
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Entity Type | Organization
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Legal Business Name | COMPLETE EYE CARE, PLLC
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Dates
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Enumeration Date | 01/12/2011
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Last Update Date | 03/07/2011
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Provider Practice Location Address
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Address Line | 34597 N 60TH ST SUITE 104
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City | SCOTTSDALE
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State | AZ
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Zip | 85266-5240
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Country | US
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Telephone | 480-488-7007
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Fax | 480-488-8672
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Provider Business Mailing Address
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Address Line | 34597 N 60TH ST SUITE 104
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City | SCOTTSDALE
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State | AZ
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Zip | 85266-5240
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Country | US
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Telephone | 480-488-7007
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Fax | 480-488-8672
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. SETH MORGAN
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Credential | O.D.
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Telephone | 480-488-7007
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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 | 1756
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License Number State | AZ
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