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General NPI Number Information
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NPI Number | 1205987625
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Entity Type | Organization
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Legal Business Name | PATRICK M RINER OD PC
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Dates
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Enumeration Date | 01/13/2007
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 345 LINDQUIST RD BLDG 71
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City | FORT STEWART
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State | GA
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Zip | 31314-5043
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Country | US
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Telephone | 912-876-1106
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Fax |
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Provider Business Mailing Address
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Address Line | 13100 HWY 144 # 291
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City | RICHMOND HILL
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State | GA
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Zip | 31324-7349
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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 | PATRICK M RINER
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Credential | OD
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Telephone | 912-256-1010
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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 | OPT000489
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License Number State | GA
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