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General NPI Number Information
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NPI Number | 1902940166
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Entity Type | Organization
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Legal Business Name | KLAUER OPTICAL CO
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 1705 DELHI ST
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City | DUBUQUE
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State | IA
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Zip | 52001-5934
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Country | US
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Telephone | 563-557-1010
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Fax | 563-557-1073
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Provider Business Mailing Address
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Address Line | 1705 DELHI ST
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City | DUBUQUE
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State | IA
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Zip | 52001-5934
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Country | US
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Telephone | 563-557-1010
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Fax | 563-557-1073
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEFFREY DONALD KLAUER
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Credential |
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Telephone | 563-557-1010
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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 |
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