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General NPI Number Information
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NPI Number | 1033344825
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Entity Type | Organization
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Legal Business Name | NORVILLE EYE CARE, O.D., P.A.
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Dates
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Enumeration Date | 05/21/2009
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Last Update Date | 10/25/2010
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Provider Practice Location Address
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Address Line | 1201 BEAVER CREEK COMMONS DR
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City | APEX
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State | NC
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Zip | 27502-3922
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Country | US
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Telephone | 919-372-1408
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Fax | 919-372-1410
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Provider Business Mailing Address
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Address Line | 608 SAWCUT LN
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City | APEX
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State | NC
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Zip | 27502-1479
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Country | US
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Telephone | 919-372-1408
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Fax | 919-372-1410
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIELLE NORVILLE
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Credential | O.D.
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Telephone | 919-372-1408
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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 | 2038
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License Number State | NC
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