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General NPI Number Information
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NPI Number | 1740670025
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Entity Type | Organization
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Legal Business Name | TOTAL EYECARE CENTERS, PLLC
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 03/17/2015
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Provider Practice Location Address
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Address Line | 6239 E BROWN RD SUITE 113
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City | MESA
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State | AZ
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Zip | 85205-4933
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Country | US
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Telephone | 602-955-1000
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Fax | 602-508-4830
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Provider Business Mailing Address
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Address Line | 4800 N 22ND ST SUITE 201
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City | PHOENIX
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State | AZ
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Zip | 85016-4701
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Country | US
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Telephone | 602-955-1000
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Fax | 602-508-4830
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Authorized Official
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Title or Position | CFO
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Name | DONALD SNYDER
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Credential |
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Telephone | 602-955-1000
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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 |
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License Number State |
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