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General NPI Number Information
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NPI Number | 1730185588
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Entity Type | Individual
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Provider Name | BRYAN GARDNER ARMSTRONG O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 06/30/2020
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Provider Practice Location Address
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Address Line | 2900 HORIZON DR STE 15
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City | BRYANT
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State | AR
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Zip | 72022-9095
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Country | US
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Telephone | 501-653-2020
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Fax | 501-653-7407
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Provider Business Mailing Address
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Address Line | 11225 HURON LN STE 200A
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City | LITTLE ROCK
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State | AR
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Zip | 72211-1861
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Country | US
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Telephone | 501-653-2020
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Fax | 501-653-7407
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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 | OP1100340
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2504
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License Number State | AR
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