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General NPI Number Information
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NPI Number | 1154804979
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Entity Type | Organization
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Legal Business Name | DONALD J. KAMER, O.D. LLC
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 404 MCCRAVY DR STE B
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City | SPARTANBURG
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State | SC
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Zip | 29303-3178
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Country | US
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Telephone | 864-585-2249
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Fax |
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Provider Business Mailing Address
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Address Line | 384 LAKELAND DR
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City | PISGAH FOREST
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State | NC
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Zip | 28768-9871
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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 | OWNER
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Name | DR. DONALD JAMES KAMER
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Credential | OD
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Telephone | 614-352-3738
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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 | 1936
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License Number State | SC
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