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General NPI Number Information
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NPI Number | 1093960395
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Entity Type | Organization
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Legal Business Name | GRAYSTONE EYE SURGERY CENTER LLC
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 2424 CENTURY PL SE
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City | HICKORY
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State | NC
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Zip | 28602-4031
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Country | US
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Telephone | 828-322-2050
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Fax | 828-345-0522
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Provider Business Mailing Address
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Address Line | PO BOX 3528
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City | HICKORY
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State | NC
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Zip | 28603-3528
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Country | US
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Telephone | 828-322-2050
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Fax | 828-345-0522
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | SHERRY B CALHOUN
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Credential |
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Telephone | 828-322-2050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | AS0036
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License Number State | NC
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