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General NPI Number Information
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NPI Number | 1851719538
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Entity Type | Organization
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Legal Business Name | TOTAL EYECARE CENTERS, PLLC
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Dates
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Enumeration Date | 03/31/2014
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 4015 S MCCLINTOCK DR STE 107
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City | TEMPE
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State | AZ
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Zip | 85282-5877
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Country | US
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Telephone | 480-345-0090
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Fax | 480-345-7094
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Provider Business Mailing Address
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Address Line | 4015 S MCCLINTOCK DR STE 107
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City | TEMPE
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State | AZ
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Zip | 85282-5877
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Country | US
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Telephone | 480-345-0090
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Fax | 480-345-7094
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DOYLE HOLLE
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Credential | OD
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Telephone | 602-402-3937
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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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