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General NPI Number Information
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NPI Number | 1992865356
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Entity Type | Organization
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Legal Business Name | EYECARE ASSOCIATES OF COLUMBUS PC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 1 HOSPITAL DR
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City | SCHUYLER
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State | NE
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Zip | 68661-1300
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Country | US
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Telephone | 402-352-3855
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Fax | 402-352-3869
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Provider Business Mailing Address
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Address Line | 1 HOSPITAL DR PO BOX 516
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City | SCHUYLER
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State | NE
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Zip | 68661-1300
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Country | US
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Telephone | 402-352-3855
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIEL K MICKEY
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Credential | OD
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Telephone | 402-352-3855
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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 | 1069
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License Number State | NE
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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 | 1091
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 801
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License Number State | NE
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