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General NPI Number Information
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NPI Number | 1164465134
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Entity Type | Organization
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Legal Business Name | STEVEN G. LAYMON, OD, PA
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 12/16/2013
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Provider Practice Location Address
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Address Line | 198B HOSPITAL ST
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City | MOCKSVILLE
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State | NC
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Zip | 27028-2008
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Country | US
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Telephone | 336-751-5734
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Fax | 336-751-4968
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Provider Business Mailing Address
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Address Line | 198B HOSPITAL ST
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City | MOCKSVILLE
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State | NC
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Zip | 27028-2008
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Country | US
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Telephone | 336-751-5734
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Fax | 336-751-4968
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | DR. STEVEN G LAYMON
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Credential | O.D.
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Telephone | 336-751-5734
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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 | 1193
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License Number State | NC
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