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General NPI Number Information
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NPI Number | 1023299575
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Entity Type | Organization
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Legal Business Name | GORLIN EYE ASSOCIATES, PC
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Dates
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Enumeration Date | 11/26/2007
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 875 LAWRENCEVILLE SUWANEE RD #560
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-8479
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Country | US
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Telephone | 770-963-0370
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Fax | 770-682-3719
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Provider Business Mailing Address
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Address Line | 875 LAWRENCEVILLE SUWANEE RD #560
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City | LAWRENCEVILLE
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State | GA
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Zip | 30043-8479
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Country | US
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Telephone | 770-963-0370
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Fax | 770-682-3719
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PAULA LYNN GORLIN
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Credential |
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Telephone | 770-963-0370
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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 | 1130
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License Number State | GA
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