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General NPI Number Information
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NPI Number | 1932470085
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Entity Type | Organization
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Legal Business Name | ASSOCIATED OPTOMETRIC PHYSICIANS, INC
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Dates
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Enumeration Date | 01/21/2012
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Last Update Date | 03/14/2019
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Provider Practice Location Address
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Address Line | 1325 DENVER AVE
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City | LOVELAND
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State | CO
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Zip | 80537-5120
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Country | US
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Telephone | 928-681-3533
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Fax | 928-681-3545
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Provider Business Mailing Address
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Address Line | 1325 DENVER AVE
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City | LOVELAND
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State | CO
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Zip | 80537-5120
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Country | US
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Telephone | 970-233-5035
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Fax | 970-669-7518
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Authorized Official
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Title or Position | CEO
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Name | DR. TAMELA BURRELL
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Credential | O.D.
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Telephone | 970-433-5068
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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 | 1800
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT.0003341
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License Number State | CO
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