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General NPI Number Information
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NPI Number | 1033351002
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Entity Type | Organization
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Legal Business Name | EYE CARE UNLIMITED OPTOMETRISTS, PLLC
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Dates
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Enumeration Date | 04/06/2009
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Last Update Date | 04/06/2009
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Provider Practice Location Address
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Address Line | 1116 CROSSROADS DR
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City | STATESVILLE
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State | NC
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Zip | 28625-8277
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Country | US
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Telephone | 704-872-0616
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Fax | 704-872-6494
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Provider Business Mailing Address
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Address Line | 1116 CROSSROADS DR
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City | STATESVILLE
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State | NC
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Zip | 28625-8277
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Country | US
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Telephone | 704-872-0616
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Fax | 704-872-6494
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Authorized Official
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Title or Position | OPTOMETRISTS/OWNER
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Name | DR. JULI ANNE SWAIM
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Credential | O.D.
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Telephone | 704-872-0616
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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 | 1676
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License Number State | NC
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