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General NPI Number Information
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NPI Number | 1679877039
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Entity Type | Organization
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Legal Business Name | EYEWORLD, L.L.C.
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Dates
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Enumeration Date | 12/28/2010
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Last Update Date | 12/28/2010
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Provider Practice Location Address
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Address Line | 5164 MEADOWOOD MALL CIR SPACE #F109
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City | RENO
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State | NV
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Zip | 89502-6711
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Country | US
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Telephone | 775-829-8366
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 SILVERADA BLVD STE 140
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City | RENO
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State | NV
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Zip | 89512-5033
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Country | US
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Telephone | 775-829-2020
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Fax | 888-632-2111
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PATRICK M. HSUEH
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Credential | M.D.
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Telephone | 775-829-2020
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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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