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General NPI Number Information
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NPI Number | 1003906140
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Entity Type | Individual
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Provider Name | WILLIAM R HUNDLEY O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 1220 EBENEZER ROAD
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City | ROCK HILL
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State | SC
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Zip | 29732
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Country | US
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Telephone | 803-327-2020
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Fax | 803-327-2335
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Provider Business Mailing Address
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Address Line | 919 STANFIELD DR
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City | CHARLOTTE
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State | NC
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Zip | 28210-2929
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Country | US
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Telephone | 704-516-3823
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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 | 1135
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License Number State | SC
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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 | 1783
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License Number State | NC
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