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General NPI Number Information
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NPI Number | 1922060755
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Entity Type | Organization
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Legal Business Name | FLIPPIN-WESTFALL EYECARE CENTER PC
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 02/04/2009
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Provider Practice Location Address
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Address Line | 410 W RACE AVE
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City | SEARCY
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State | AR
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Zip | 72143-4133
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Country | US
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Telephone | 501-268-3577
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Fax | 501-268-5631
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Provider Business Mailing Address
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Address Line | 410 W RACE AVE
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City | SEARCY
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State | AR
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Zip | 72143-4133
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Country | US
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Telephone | 501-268-3577
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Fax | 501-268-5631
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Authorized Official
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Title or Position | PRESIDENT
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Name | HOWARD F FLIPPIN
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Credential | O.D.
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Telephone | 501-268-3577
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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 | PC013
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License Number State | AR
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