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General NPI Number Information
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NPI Number | 1659705051
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Entity Type | Organization
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Legal Business Name | GLASSES CONNECT INC.
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 08/21/2013
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Provider Practice Location Address
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Address Line | 5801 SE 24TH ST UNIT 75
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City | DES MOINES
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State | IA
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Zip | 50320-4704
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Country | US
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Telephone | 515-770-9083
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Fax |
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Provider Business Mailing Address
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Address Line | 5801 SE 24TH ST UNIT 75
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City | DES MOINES
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State | IA
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Zip | 50320-4704
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Country | US
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Telephone | 515-770-9083
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DARRYL BROOKS
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Credential |
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Telephone | 515-770-9083
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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 |
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License Number State | IA
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