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General NPI Number Information
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NPI Number | 1932306123
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Entity Type | Organization
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Legal Business Name | CLEAR VISION OPHTHALMOLOGY PC
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 07/20/2007
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Provider Practice Location Address
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Address Line | 8410 W. THOMAS ROAD SUITE 146
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City | PHOENIX
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State | AZ
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Zip | 85037-3329
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Country | US
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Telephone | 623-846-6567
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Fax | 623-848-1161
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Provider Business Mailing Address
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Address Line | 8410 W. THOMAS ROAD SUITE 146
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City | PHOENIX
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State | AZ
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Zip | 85037-3329
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Country | US
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Telephone | 623-846-6567
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Fax | 623-848-1161
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Authorized Official
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Title or Position | PRESIDENT
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Name | COREY HOCHMAN
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Credential | M.D.
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Telephone | 623-846-6567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 32759
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License Number State | AZ
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