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General NPI Number Information
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NPI Number | 1093145609
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Entity Type | Organization
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Legal Business Name | AMK EYECARE, P.C.
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Dates
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Enumeration Date | 11/18/2013
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Last Update Date | 11/18/2013
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Provider Practice Location Address
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Address Line | 2020 HOWELL MILL RD NW 37
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City | ATLANTA
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State | GA
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Zip | 30318-1732
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Country | US
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Telephone | 404-835-2975
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Fax | 404-835-2976
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Provider Business Mailing Address
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Address Line | 2020 HOWELL MILL RD NW 37
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City | ATLANTA
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State | GA
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Zip | 30318-1732
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Country | US
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Telephone | 404-835-2975
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Fax | 404-835-2976
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREA MICHELLE KNOUFF
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Credential | O.D.
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Telephone | 678-592-5795
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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 | 2418
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License Number State | GA
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