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General NPI Number Information
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NPI Number | 1639369135
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Entity Type | Organization
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Legal Business Name | CENTRAL POINT EYECARE, P.C.
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 09/10/2009
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Provider Practice Location Address
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Address Line | 650 E PINE ST STE 105
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City | CENTRAL POINT
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State | OR
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Zip | 97502-2400
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Country | US
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Telephone | 541-664-5535
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Fax | 541-664-7745
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Provider Business Mailing Address
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Address Line | 650 E PINE ST STE 105
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City | CENTRAL POINT
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State | OR
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Zip | 97502-2400
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Country | US
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Telephone | 541-664-5535
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Fax | 541-664-7745
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEAN R. BROWN
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Credential | D.O.
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Telephone | 541-664-5535
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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 | 2302ATI
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License Number State | OR
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