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General NPI Number Information
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NPI Number | 1649245333
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Entity Type | Organization
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Legal Business Name | ESPLIN EYE CENTER LLC
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Dates
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Enumeration Date | 02/17/2006
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 59 S 400 W
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City | SPANISH FORK
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State | UT
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Zip | 84660-2053
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Country | US
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Telephone | 801-794-3937
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Fax | 801-794-9880
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Provider Business Mailing Address
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Address Line | 59 S 400 W PO BOX 267
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City | SPANISH FORK
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State | UT
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Zip | 84660-1802
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Country | US
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Telephone | 801-794-3937
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Fax | 801-794-9880
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Authorized Official
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Title or Position | OWNER DOCTOR
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Name | DAVID J ESPLIN
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Credential | OD
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Telephone | 801-794-3937
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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 | 56790148908
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License Number State | UT
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