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General NPI Number Information
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NPI Number | 1861808099
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Entity Type | Organization
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Legal Business Name | AMERICAN EYE INSTITUTE, PLLC
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Dates
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Enumeration Date | 07/09/2014
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 3312 BATTLEGROUND AVE
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City | GREENSBORO
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State | NC
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Zip | 27410-2548
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Country | US
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Telephone | 336-282-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 10601 OLD PLANTATION DR
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City | EVANSVILLE
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State | IN
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Zip | 47725-8680
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | RHEA HEMENWAY
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Credential | R.N.
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Telephone | 812-550-4228
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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 |
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License Number State |
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