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General NPI Number Information
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NPI Number | 1255386116
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Entity Type | Organization
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Legal Business Name | EYECARE PLUS HV PLLC
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 386 W MAIN ST SUITE 104
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3349
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Country | US
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Telephone | 615-338-3602
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Fax | 615-338-3606
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Provider Business Mailing Address
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Address Line | 386 W MAIN ST SUITE 104
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3349
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Country | US
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Telephone | 615-338-3602
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Fax | 615-338-3606
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Authorized Official
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Title or Position | MANAGER
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Name | CHEYANNE MULLIS
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Credential |
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Telephone | 615-988-5303
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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 |
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License Number State |
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