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General NPI Number Information
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NPI Number | 1821107632
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Entity Type | Organization
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Legal Business Name | EMPIRE OPTICAL CO
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 1485 S COLORADO BLVD #260
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City | DENVER
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State | CO
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Zip | 80222-3619
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Country | US
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Telephone | 303-512-0177
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Fax | 303-759-9375
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Provider Business Mailing Address
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Address Line | 1485 S COLORADO BLVD #260
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City | DENVER
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State | CO
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Zip | 80222-3619
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Country | US
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Telephone | 303-512-0177
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Fax | 303-759-9375
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Authorized Official
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Title or Position | OWNER
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Name | JAMES B GILTNER
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Credential | MD
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Telephone | 303-512-0177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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