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General NPI Number Information
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NPI Number | 1184893612
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Entity Type | Organization
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Legal Business Name | DR DAVID M BIGSBY
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 02/28/2008
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Provider Practice Location Address
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Address Line | 2843 JONES FRANKLIN RD
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City | RALEIGH
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State | NC
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Zip | 27606-4007
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Country | US
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Telephone | 919-851-9966
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Fax |
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Provider Business Mailing Address
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Address Line | 2843 JONES FRANKLIN RD
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City | RALEIGH
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State | NC
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Zip | 27606-4007
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Country | US
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Telephone | 919-851-9966
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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. DAVID M BIGSBY
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Credential |
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Telephone | 919-851-9966
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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 | 1040
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License Number State | NC
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