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General NPI Number Information
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NPI Number | 1629261003
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Entity Type | Organization
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Legal Business Name | SEE OPTICAL
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 01/13/2010
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Provider Practice Location Address
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Address Line | 9127 W THUNDERBIRD RD #104
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City | PEORIA
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State | AZ
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Zip | 85381-4887
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Country | US
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Telephone | 602-993-6400
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Fax | 602-866-2850
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Provider Business Mailing Address
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Address Line | 9127 W THUNDERBIRD RD #104
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City | PEORIA
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State | AZ
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Zip | 85381-4887
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Country | US
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Telephone | 602-993-6400
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Fax | 602-866-2850
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. SUSAN A JOHNS
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Credential |
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Telephone | 602-993-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 20155482H
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License Number State | AZ
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