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General NPI Number Information
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NPI Number | 1770544801
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Entity Type | Individual
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Provider Name | AMY APISA HITZEMAN O.D.
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Gender | Female
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Dates
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Enumeration Date | 03/29/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 4180 S DURANGO DR
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City | LAS VEGAS
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State | NV
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Zip | 89147-8600
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Country | US
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Telephone | 702-732-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 79 LAYING UP CT
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City | LAS VEGAS
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State | NV
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Zip | 89148-5257
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Country | US
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Telephone | 808-778-7243
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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 | 522T
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License Number State | HI
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