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General NPI Number Information
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NPI Number | 1194031211
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Entity Type | Organization
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Legal Business Name | PETER K. DUNN, O.D., P.A.
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Dates
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Enumeration Date | 08/26/2010
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Last Update Date | 08/26/2010
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Provider Practice Location Address
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Address Line | 306 MUIRS CHAPEL RD STE B
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City | GREENSBORO
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State | NC
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Zip | 27410-6177
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Country | US
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Telephone | 336-854-0066
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Fax | 336-252-1053
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Provider Business Mailing Address
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Address Line | 306 MUIRS CHAPEL RD STE B
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City | GREENSBORO
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State | NC
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Zip | 27410-6177
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Country | US
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Telephone | 336-854-0066
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Fax | 336-252-1053
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. SHARON H CURRIE
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Credential | CPOA
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Telephone | 336-854-0066
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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 | NC1255
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License Number State | NC
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