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General NPI Number Information
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NPI Number | 1811298326
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Entity Type | Organization
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Legal Business Name | SCOTTSDALE QUARTER EYE ASSOCIATES, LLC
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Dates
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Enumeration Date | 11/15/2010
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Last Update Date | 11/15/2010
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Provider Practice Location Address
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Address Line | 15037 N SCOTTSDALE RD STE. J-180
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2289
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Country | US
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Telephone | 480-443-7601
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Fax | 480-607-2969
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Provider Business Mailing Address
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Address Line | 15037 N SCOTTSDALE RD STE. J-180
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-2289
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. STEVEN LABROFF
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Credential | O.D.
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Telephone | 480-443-7601
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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 | AZ
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