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General NPI Number Information
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NPI Number | 1669969945
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Entity Type | Organization
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Legal Business Name | QUALITY EYE CARE LLC
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Dates
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Enumeration Date | 04/22/2018
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Last Update Date | 04/22/2018
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Provider Practice Location Address
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Address Line | 3305 N GRIMES ST
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City | HOBBS
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State | NM
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Zip | 88240-1219
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Country | US
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Telephone | 575-392-0120
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Fax | 575-392-0160
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Provider Business Mailing Address
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Address Line | 4918 N BREANNA ST
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City | HOBBS
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State | NM
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Zip | 88242-9811
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Country | US
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Telephone | 806-470-5400
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Fax |
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Authorized Official
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Title or Position | MEMBER/OPHTHALMOLOGIST
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Name | DR. DANIEL JOHN GOOD
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Credential | MD
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Telephone | 806-470-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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