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General NPI Number Information
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NPI Number | 1699764704
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Entity Type | Individual
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Provider Name | ERIK S ORNSTEIN O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 14256 N NORTHSIGHT BLVD STE 120
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3954
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Country | US
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Telephone | 623-249-7589
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Fax | 623-889-2452
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Provider Business Mailing Address
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Address Line | 14256 N NORTHSIGHT BLVD STE 120
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-3954
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Country | US
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Telephone | 623-249-7589
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Fax | 623-889-2452
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | AZ1192
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License Number State | AZ
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