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NPI 1962597146

NPI 1962597146 : PRECISION EYECARE, INC. : SCOTTSDALE, AZ

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General NPI Number Information
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    NPI Number           |    1962597146
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRECISION EYECARE, INC. 
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Dates
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    Enumeration Date     |    10/04/2006
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    Last Update Date     |    12/05/2008
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Provider Practice Location Address
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    Address Line         |    7970 E. THOMPSON PEAK PKWY. SUITE 102
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85255
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    Country              |    US
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    Telephone            |    480-874-3937
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    Fax                  |    480-563-9906
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Provider Business Mailing Address
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    Address Line         |    7970 E. THOMPSON PEAK PKWY. SUITE 102
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    City                 |    SCOTTSDALE
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    State                |    AZ
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    Zip                  |    85255
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    Country              |    US
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    Telephone            |    480-874-3937
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    Fax                  |    480-563-9906
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     STEVEN PROSPTE CHECROUN 
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    Credential           |    M.D.
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    Telephone            |    480-894-3937
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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       |    29290
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    License Number State |    AZ
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