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General NPI Number Information
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NPI Number | 1740405786
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Entity Type | Organization
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Legal Business Name | JAMES EYECARE CENTER, INC
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 17711 CHENAL PARKWAY SPACE I-117
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City | LITTLE ROCK
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State | AR
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Zip | 72223-5810
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Country | US
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Telephone | 501-687-0826
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Fax | 501-687-0829
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Provider Business Mailing Address
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Address Line | 17711 CHENAL PARKWAY SPACE I-117
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City | LITTLE ROCK
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State | AR
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Zip | 72223-5810
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Country | US
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Telephone | 501-687-0826
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Fax | 501-687-0829
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRENT A JAMES
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Credential | OD
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Telephone | 501-687-0826
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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 | 2501
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License Number State | AR
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