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General NPI Number Information
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NPI Number | 1689769143
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Entity Type | Organization
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Legal Business Name | SOUTHWEST EYE SURGEONS, LTD
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 02/09/2010
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Provider Practice Location Address
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Address Line | 9151 W THUNDERBIRD RD # G101
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City | PEORIA
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State | AZ
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Zip | 85381-4906
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Country | US
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Telephone | 623-974-4789
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Fax | 623-974-4798
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Provider Business Mailing Address
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Address Line | 9151 W THUNDERBIRD RD # G101
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City | PEORIA
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State | AZ
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Zip | 85381-4906
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Country | US
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Telephone | 623-974-4789
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Fax | 623-974-4798
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PARMINDERPAL SINGH
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Credential | MD
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Telephone | 623-974-4789
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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 | 28973
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License Number State | AZ
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