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General NPI Number Information
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NPI Number | 1689915340
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Entity Type | Organization
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Legal Business Name | ALBERHASKY EYE CLINIC PC
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Dates
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Enumeration Date | 03/06/2013
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Last Update Date | 03/06/2013
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Provider Practice Location Address
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Address Line | 2346 MORMON TREK BLVD
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City | IOWA CITY
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State | IA
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Zip | 52246-4371
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Country | US
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Telephone | 319-338-2020
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Fax | 319-341-7884
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Provider Business Mailing Address
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Address Line | 2346 MORMON TREK BLVD
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City | IOWA CITY
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State | IA
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Zip | 52246-4371
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Country | US
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Telephone | 319-338-2020
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Fax | 319-341-7884
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | GEORGE ALBERHASY
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Credential | O.D.
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Telephone | 319-338-2020
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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 | IA2002
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License Number State | IA
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