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General NPI Number Information
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NPI Number | 1861744716
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Entity Type | Organization
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Legal Business Name | PRN BILLING LLC
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Dates
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Enumeration Date | 10/02/2012
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Last Update Date | 10/02/2012
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Provider Practice Location Address
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Address Line | 10851 MASTIN ST SUITE 100
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City | OVERLAND PARK
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State | KS
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Zip | 66210-1769
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Country | US
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Telephone | 913-956-5000
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Fax | 913-956-4955
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Provider Business Mailing Address
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Address Line | 10851 MASTIN ST SUITE 100
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City | OVERLAND PARK
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State | KS
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Zip | 66210-1769
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Country | US
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Telephone | 913-956-5000
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Fax | 913-956-4955
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DAVID DYER
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Credential | M.D.
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Telephone | 913-956-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 04-26713
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License Number State | KS
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