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General NPI Number Information
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NPI Number | 1841486271
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Entity Type | Organization
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Legal Business Name | D CORY RATH OD A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 10/24/2017
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Provider Practice Location Address
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Address Line | 305 N PECOS RD SUITE A
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City | HENDERSON
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State | NV
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Zip | 89074-1351
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Country | US
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Telephone | 702-547-1588
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Fax | 702-737-0321
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Provider Business Mailing Address
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Address Line | 305 N PECOS RD SUITE A
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City | HENDERSON
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State | NV
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Zip | 89074-1351
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Country | US
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Telephone | 702-547-1588
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Fax | 702-737-0321
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Authorized Official
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Title or Position | OWNER/PRES
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Name | DR. D CORY RATH
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Credential | OD
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Telephone | 732-547-1588
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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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