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General NPI Number Information
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NPI Number | 1235972357
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Entity Type | Individual
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Provider Name | GEORGE M THURMOND OD
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Gender | Male
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 07/03/2024
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Provider Practice Location Address
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Address Line | 1015 HWY 150 WEST SUITE D
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City | SUMMERFIELD
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State | NC
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Zip | 27358
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Country | US
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Telephone | 336-281-2015
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Fax |
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Provider Business Mailing Address
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Address Line | 7615 ROYSTER RD
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City | GREENSBORO
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State | NC
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Zip | 27455-8215
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Country | US
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Telephone | 336-404-7945
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 0618003411
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License Number State | VA
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