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General NPI Number Information
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NPI Number | 1235323130
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Entity Type | Organization
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Legal Business Name | WNC EYE CARE ASSOCIATES PA OPTICAL DEPARTMENT
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 05/07/2009
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Provider Practice Location Address
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Address Line | 70 WESTCARE DR STE 404
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City | SYLVA
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State | NC
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Zip | 28779-5292
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Country | US
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Telephone | 828-586-4151
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Fax | 828-586-8121
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Provider Business Mailing Address
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Address Line | 70 WESTCARE DR. STE 404
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City | SYLVA
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State | NC
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Zip | 28779-5279
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Country | US
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Telephone | 828-586-4151
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Fax | 828-586-8121
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD BEAUCHEMIN
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Credential | MD
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Telephone | 828-586-7462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1575
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License Number State | NC
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