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General NPI Number Information
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NPI Number | 1821361130
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Entity Type | Organization
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Legal Business Name | BARNET DULANEY PERKINS EYE CENTER, PC
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Dates
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Enumeration Date | 02/16/2012
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 1610 S WHITE MOUNTAIN RD
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City | SHOW LOW
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State | AZ
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Zip | 85901-7106
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Country | US
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Telephone | 602-955-1000
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Fax | 602-508-4830
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Provider Business Mailing Address
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Address Line | 63 S ROCKFORD DR STE 220
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City | TEMPE
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State | AZ
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Zip | 85288-6226
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Country | US
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Telephone | 602-598-7488
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Fax | 602-508-4830
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ARTHUR D BROOKFIELD
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Credential |
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Telephone | 602-598-7488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 2160
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License Number State | AZ
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