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General NPI Number Information
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NPI Number | 1902439847
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Entity Type | Organization
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Legal Business Name | FOCUS EYECARE LLC
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Dates
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Enumeration Date | 02/19/2020
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Last Update Date | 02/19/2020
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Provider Practice Location Address
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Address Line | 14200 E ELLSWORTH AVE
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City | AURORA
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State | CO
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Zip | 80012-1402
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Country | US
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Telephone | 303-214-0117
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Fax |
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Provider Business Mailing Address
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Address Line | 5173 S LAREDO WAY
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City | CENTENNIAL
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State | CO
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Zip | 80015-4151
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Country | US
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Telephone | 405-413-9599
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | HOA TRAN
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Credential | OD
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Telephone | 405-413-9599
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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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