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General NPI Number Information
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NPI Number | 1881719474
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Entity Type | Organization
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Legal Business Name | DR DOUGLAS C KIEFER & ASSOCIATES PC.
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 5943 SKY POND DR, UNIT E100
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City | LOVELAND
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State | CO
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Zip | 80538
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Country | US
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Telephone | 970-667-1866
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Fax | 970-667-7826
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Provider Business Mailing Address
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Address Line | 5943 SKY POND DR, UNIT E100
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City | LOVELAND
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State | CO
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Zip | 80538
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Country | US
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Telephone | 970-667-1866
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Fax | 970-667-7826
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Authorized Official
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Title or Position | OWNER
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Name | DOUGLAS C KIEFER
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Credential | O.D.
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Telephone | 970-226-0540
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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 | 1268
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License Number State | CO
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