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General NPI Number Information
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NPI Number | 1760571723
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Entity Type | Organization
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Legal Business Name | PANHANDLE EYE GROUP, LLP
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 7400 FLEMING AVE
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City | AMARILLO
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State | TX
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Zip | 79106-1808
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Country | US
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Telephone | 806-467-0459
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Fax | 806-355-1284
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Provider Business Mailing Address
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Address Line | PO BOX 50720
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City | AMARILLO
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State | TX
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Zip | 79159-0720
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Country | US
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Telephone | 806-467-0459
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Fax | 806-355-1284
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Authorized Official
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Title or Position | CEO
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Name | CAROL T CARPENTER
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Credential |
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Telephone | 806-356-0012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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