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General NPI Number Information
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NPI Number | 1790742039
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Entity Type | Organization
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Legal Business Name | SLOAN EYE CLINIC
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 10 HOSPITAL CIR
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City | BATESVILLE
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State | AR
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Zip | 72501-7310
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Country | US
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Telephone | 870-793-4040
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Fax | 870-793-5649
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Provider Business Mailing Address
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Address Line | 10 HOSPITAL CIR
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City | BATESVILLE
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State | AR
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Zip | 72501-7310
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Country | US
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Telephone | 870-793-4040
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Fax | 870-793-5649
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Authorized Official
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Title or Position | OWNER
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Name | DR. RONALD LEN LOWERY
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Credential | M.D.
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Telephone | 870-793-4040
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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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