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General NPI Number Information
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NPI Number | 1801560545
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Entity Type | Organization
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Legal Business Name | HAWARDEN FAMILY EYE CARE PLLC
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 605 10TH ST
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City | HAWARDEN
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State | IA
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Zip | 51023-2220
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Country | US
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Telephone | 712-551-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 105 S MAIN AVE
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City | SIOUX CENTER
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State | IA
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Zip | 51250-1535
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Country | US
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Telephone | 712-722-1270
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAUL BEAVER
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Credential | OD
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Telephone | 712-722-1270
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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 |
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License Number State |
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