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General NPI Number Information
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NPI Number | 1134555733
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Entity Type | Organization
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Legal Business Name | FEATHER SOUND EYECARE PA
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Dates
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Enumeration Date | 09/16/2013
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Last Update Date | 10/24/2013
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Provider Practice Location Address
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Address Line | 101 N CATTLEMEN RD
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City | SARASOTA
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State | FL
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Zip | 34243-4700
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Country | US
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Telephone | 941-351-1806
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Fax |
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Provider Business Mailing Address
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Address Line | 2323 FEATHER SOUND DR UNIT F205
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City | CLEARWATER
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State | FL
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Zip | 33762-3024
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CLAIMS DEPT
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Name | MARY GAGE
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Credential |
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Telephone | 828-894-0599
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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 | OPC2773
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License Number State | FL
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