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General NPI Number Information
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NPI Number | 1023421096
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Entity Type | Organization
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Legal Business Name | BEST EYECARE OPTICAL, INC.
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Dates
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Enumeration Date | 06/08/2014
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Last Update Date | 06/08/2014
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Provider Practice Location Address
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Address Line | 3751 SATELLITE BLVD SUITE 200.
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City | DULUTH
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State | GA
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Zip | 30096-8840
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Country | US
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Telephone | 678-473-0911
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Fax | 678-473-9100
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Provider Business Mailing Address
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Address Line | 3751 SATELLITE BLVD SUITE 200.
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City | DULUTH
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State | GA
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Zip | 30096-8840
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Country | US
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Telephone | 678-473-0911
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Fax | 678-473-9100
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Authorized Official
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Title or Position | OWNER
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Name | CHOON K. KIM
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Credential | LDO
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Telephone | 678-473-0911
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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 |
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License Number State |
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