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General NPI Number Information
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NPI Number | 1871902577
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Entity Type | Organization
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Legal Business Name | I2IOPTIQUE
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Dates
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Enumeration Date | 08/06/2014
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Last Update Date | 08/15/2016
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Provider Practice Location Address
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Address Line | 8320 N HAYDEN RD #E103
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-2474
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Country | US
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Telephone | 480-767-3450
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Fax | 480-767-3305
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Provider Business Mailing Address
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Address Line | 8320 N HAYDEN RD #E103
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-2474
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Country | US
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Telephone | 480-767-3450
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Fax | 480-767-3305
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SABINA KRASNOV
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Credential | OPTICIAN
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Telephone | 917-686-2749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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