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General NPI Number Information
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NPI Number | 1699197251
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Entity Type | Organization
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Legal Business Name | VISION EYE CARE LLC
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Dates
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Enumeration Date | 01/15/2014
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Last Update Date | 01/15/2014
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Provider Practice Location Address
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Address Line | 4835 KIETZKE LN
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City | RENO
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State | NV
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Zip | 89509-6549
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Country | US
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Telephone | 775-825-1403
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Fax | 755-829-8218
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Provider Business Mailing Address
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Address Line | 7064 SACRED CIR
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City | SPARKS
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State | NV
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Zip | 89436-5477
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Country | US
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Telephone | 435-256-5581
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. ROBERT KELEIGH HORNER
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Credential | O.D.
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Telephone | 435-256-5581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State | NV
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