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General NPI Number Information
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NPI Number | 1902072200
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Entity Type | Organization
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Legal Business Name | H & K OPTICAL
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 05/12/2008
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Provider Practice Location Address
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Address Line | 2205 N 6TH ST SUITE 18
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City | BEATRICE
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State | NE
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Zip | 68310-1264
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Country | US
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Telephone | 402-223-2950
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Fax | 402-223-5320
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Provider Business Mailing Address
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Address Line | 2205 N 6TH ST SUITE 18
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City | BEATRICE
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State | NE
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Zip | 68310-1264
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Country | US
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Telephone | 402-223-2950
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Fax | 402-223-5320
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Authorized Official
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Title or Position | OWNER
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Name | MR. HOWARD THILGES
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Credential |
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Telephone | 402-223-3950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State | NE
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