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General NPI Number Information
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NPI Number | 1639189368
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Entity Type | Organization
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Legal Business Name | ANDERSON & BROWN EYE CARE, PLC
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 12/27/2011
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Provider Practice Location Address
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Address Line | 1425 BOYSON RD
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City | HIAWATHA
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State | IA
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Zip | 52233-2339
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Country | US
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Telephone | 319-743-3937
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Fax | 319-743-3944
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Provider Business Mailing Address
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Address Line | 1425 BOYSON RD
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City | HIAWATHA
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State | IA
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Zip | 52233-2339
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Country | US
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Telephone | 319-743-3937
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Fax | 319-743-3944
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Authorized Official
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Title or Position | PARTNER
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Name | DR. ROBERT T BROWN
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Credential | O.D.
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Telephone | 319-743-3937
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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 |
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License Number State | IA
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