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General NPI Number Information
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NPI Number | 1245222934
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Entity Type | Individual
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Provider Name | CARROLL GREGORY AKER O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2005
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 338 S WASHINGTON AVE
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City | TITUSVILLE
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State | FL
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Zip | 32796-3548
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Country | US
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Telephone | 321-269-2021
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Fax | 321-269-2119
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Provider Business Mailing Address
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Address Line | 338 S WASHINGTON AVE
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City | TITUSVILLE
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State | FL
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Zip | 32796-3548
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Country | US
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Telephone | 321-269-2021
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Fax | 321-269-2119
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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 | OPC2006
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OPC2006
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 152WX0102X
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Taxonomy Name | Occupational Vision Optometrist
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License Number | OPC2006
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 156FC0800X
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Taxonomy Name | Contact Lens Technician/Technologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 156FC0801X
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Taxonomy Name | Contact Lens Fitter
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 156FX1201X
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Taxonomy Name | Optometric Assistant Technician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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