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General NPI Number Information
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NPI Number | 1003337593
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Entity Type | Individual
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Provider Name | COURTNEY GREGG OD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2017
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 101 SAWMILL RD
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City | RALEIGH
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State | NC
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Zip | 27615-6148
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Country | US
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Telephone | 919-847-0051
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Fax |
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Provider Business Mailing Address
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Address Line | 500 N WEST ST UNIT 541
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City | RALEIGH
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State | NC
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Zip | 27603-5082
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Country | US
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Telephone | 574-607-1660
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2839
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License Number State | NC
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