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General NPI Number Information
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NPI Number | 1083869713
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Entity Type | Organization
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Legal Business Name | THE EYE SITE, INC
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Dates
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Enumeration Date | 11/21/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7563 BARNETT WAY
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City | POWELL
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State | TN
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Zip | 37849-3565
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Country | US
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Telephone | 865-947-8886
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Fax |
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Provider Business Mailing Address
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Address Line | 7563 BARNETT WAY
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City | POWELL
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State | TN
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Zip | 37849
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Country | US
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Telephone | 865-947-8886
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Fax |
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MR. MARK BEST
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Credential |
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Telephone | 865-947-8886
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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 | TN
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