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General NPI Number Information
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NPI Number | 1033144225
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Entity Type | Individual
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Provider Name | GREGORY CLINTON RUSSELL O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 102 PROFESSIONAL PARK PVT DR
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City | KINGSPORT
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State | TN
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Zip | 37663-2287
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Country | US
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Telephone | 423-245-2222
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Fax | 423-245-4822
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Provider Business Mailing Address
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Address Line | 102 PROFESSIONAL PARK PVT DR
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City | KINGSPORT
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State | TN
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Zip | 37663-2287
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Country | US
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Telephone | 423-245-2222
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Fax | 423-245-4822
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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 | ODT1813
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License Number State | TN
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