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General NPI Number Information
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NPI Number | 1952190712
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Entity Type | Organization
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Legal Business Name | SMITH VALLEY VISION LLC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 3450 N GLASSFORD HILL RD
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City | PRESCOTT VALLEY
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State | AZ
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Zip | 86314-1351
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Country | US
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Telephone | 928-499-3152
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Fax | 928-775-6292
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Provider Business Mailing Address
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Address Line | 725 MEADOWLARK LN
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City | PRESCOTT
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State | AZ
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Zip | 86301-5859
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Country | US
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Telephone | 920-205-3844
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Fax | 928-775-6292
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ROBERT BENSON SMITH
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Credential | OD
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Telephone | 920-205-3844
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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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