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General NPI Number Information
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NPI Number | 1245761006
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Entity Type | Organization
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Legal Business Name | CLAUDE OPTICAL, LLC
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Dates
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Enumeration Date | 03/23/2017
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Last Update Date | 03/23/2017
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Provider Practice Location Address
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Address Line | 5001 PEACHTREE BLVD
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City | ATLANTA
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State | GA
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Zip | 30341-2719
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Country | US
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Telephone | 305-467-6980
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Fax |
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Provider Business Mailing Address
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Address Line | 7975 NESBIT FERRY RD
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City | SANDY SPRINGS
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State | GA
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Zip | 30350-1005
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Country | US
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Telephone | 305-467-6980
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MR. TIMOTHY RHYSE PARKER
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Credential |
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Telephone | 305-467-6980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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