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General NPI Number Information
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NPI Number | 1003902859
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Entity Type | Organization
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Legal Business Name | ERIC L HELWIG OD PC
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 10/28/2014
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Provider Practice Location Address
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Address Line | 1581 N MAIN ST
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City | LA FAYETTE
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State | GA
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Zip | 30728-6436
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Country | US
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Telephone | 706-638-0880
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Fax | 706-638-0481
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Provider Business Mailing Address
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Address Line | 1581 N MAIN ST
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City | LA FAYETTE
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State | GA
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Zip | 30728-6436
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Country | US
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Telephone | 706-638-0880
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Fax | 706-638-0481
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Authorized Official
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Title or Position | OWNER
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Name | DR. ERIC LEE HELWIG
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Credential | OD
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Telephone | 706-638-0880
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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 | 2171
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License Number State | GA
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