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General NPI Number Information
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NPI Number | 1871283648
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Entity Type | Organization
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Legal Business Name | DARBY EYE CARE LLC
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 3721 E THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85018-7507
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Country | US
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Telephone | 614-352-7373
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Fax |
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Provider Business Mailing Address
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Address Line | 8632 E EDGEMONT AVE
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City | SCOTTSDALE
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State | AZ
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Zip | 85257-1816
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Country | US
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Telephone | 563-299-7967
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KELSEY DARBY
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Credential | OD
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Telephone | 563-299-7967
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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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