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General NPI Number Information
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NPI Number | 1255363024
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Entity Type | Organization
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Legal Business Name | PRCHAL AND PRCHAL, P.C.
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 2809 OLD DAWSON RD
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City | ALBANY
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State | GA
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Zip | 31707-1513
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Country | US
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Telephone | 229-888-3937
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Fax | 229-888-6369
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Provider Business Mailing Address
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Address Line | 2809 OLD DAWSON RD
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City | ALBANY
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State | GA
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Zip | 31707-1513
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Country | US
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Telephone | 229-888-3937
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Fax | 229-888-6369
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Authorized Official
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Title or Position | CEO/OWNER
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Name | DR. GERALD J PRCHAL
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Credential | O.D.
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Telephone | 229-888-3937
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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 | 1268
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2305
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 890T
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License Number State | GA
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