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General NPI Number Information
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NPI Number | 1043312622
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Entity Type | Individual
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Provider Name | CHRISTOPHER PEARSON O.D.
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Gender | Male
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 01/24/2008
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Provider Practice Location Address
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Address Line | 105 E LAKE BRANTLEY DR
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City | LONGWOOD
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State | FL
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Zip | 32779-4806
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Country | US
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Telephone | 407-869-4733
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Fax | 407-869-1782
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Provider Business Mailing Address
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Address Line | 105 E LAKE BRANTLEY DR
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City | LONGWOOD
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State | FL
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Zip | 32779-4806
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Country | US
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Telephone | 407-869-4733
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Fax | 407-869-1782
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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 | OPC 3672
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OPC 3672
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | OPC 3672
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License Number State | FL
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