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General NPI Number Information
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NPI Number | 1689738270
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Entity Type | Organization
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Legal Business Name | ERIC C MCPEAK OD PA
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 1823 CHASE ST
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City | FALLS CITY
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State | NE
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Zip | 68355-2636
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Country | US
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Telephone | 402-245-2017
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Fax | 402-245-2018
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Provider Business Mailing Address
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Address Line | PO BOX 336
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City | HIAWATHA
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State | KS
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Zip | 66434-2232
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Country | US
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Telephone | 785-742-3021
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Fax | 785-742-3061
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | DR. ERIC C MCPEAK
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Credential | O.D.
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Telephone | 785-742-3021
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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 |
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License Number State |
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