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General NPI Number Information
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NPI Number | 1780099580
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Entity Type | Organization
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Legal Business Name | VALLEY EYE CARE LLC
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Dates
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Enumeration Date | 07/01/2014
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 9529 W STATE ROAD 56
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City | FRENCH LICK
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State | IN
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Zip | 47432-9708
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Country | US
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Telephone | 812-936-5222
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Fax | 812-936-5225
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Provider Business Mailing Address
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Address Line | 9529 W STATE ROAD 56
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City | FRENCH LICK
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State | IN
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Zip | 47432-9708
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Country | US
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Telephone | 812-936-5222
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Fax | 812-936-5225
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Authorized Official
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Title or Position | OWNER
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Name | AARON KYLE COOKE
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Credential |
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Telephone | 812-936-5222
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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 | 18003699B
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License Number State | IN
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