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General NPI Number Information
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NPI Number | 1023261781
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Entity Type | Organization
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Legal Business Name | DUBLIN VISION CARE INC
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 11/11/2010
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Provider Practice Location Address
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Address Line | 714 BELLEVUE AVE
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City | DUBLIN
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State | GA
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Zip | 31021-4846
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Country | US
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Telephone | 478-272-2303
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Fax | 478-275-1575
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Provider Business Mailing Address
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Address Line | 714 BELLEVUE AVENUE
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City | DUBLIN
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State | GA
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Zip | 31021
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Country | US
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Telephone | 478-272-2303
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Fax | 478-275-1575
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. KATRINA C BRASWELL
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Credential |
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Telephone | 478-272-2303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 0975
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License Number State | GA
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