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General NPI Number Information
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NPI Number | 1750834305
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Entity Type | Individual
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Provider Name | TYLER RICHARD ARENS OD
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Gender | Male
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Dates
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Enumeration Date | 08/01/2016
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Last Update Date | 08/01/2016
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Provider Practice Location Address
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Address Line | 19040 E VALLEY VIEW PKWY
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City | INDEPENDENCE
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State | MO
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Zip | 64055-7004
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Country | US
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Telephone | 816-200-2001
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Fax |
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Provider Business Mailing Address
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Address Line | 4949 WORNALL RD APT 310
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City | KANSAS CITY
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State | MO
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Zip | 64112-2579
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Country | US
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Telephone | 402-750-0475
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Fax |
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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 | 2016019303
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License Number State | MO
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