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General NPI Number Information
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NPI Number | 1205577210
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Entity Type | Organization
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Legal Business Name | HOLLY SPRINGS EYE AND LASER PLLC
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Dates
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Enumeration Date | 04/05/2022
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 242 S MAIN ST STE 110
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-6052
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Country | US
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Telephone | 919-689-8920
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Fax | 919-689-8967
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Provider Business Mailing Address
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Address Line | 201 S MCPHERSON CHURCH RD STE 106
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-4913
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Country | US
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Telephone | 919-689-8920
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Fax | 919-689-8967
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Authorized Official
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Title or Position | OPHTHALMOLOGIST
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Name | DR. FARAAZ KHAN
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Credential | MD
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Telephone | 919-689-8920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0120X
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Taxonomy Name | Cornea and External Diseases Specialist Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number |
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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