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General NPI Number Information
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NPI Number | 1285305433
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Entity Type | Organization
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Legal Business Name | TALLY EYEGLASSERY LLC
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 2176 CAPITAL CIR SE STE 301
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City | TALLAHASSEE
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State | FL
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Zip | 32301-6267
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Country | US
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Telephone | 850-391-8900
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Fax | 850-391-8902
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Provider Business Mailing Address
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Address Line | 2124 FERNLEIGH DR
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City | TALLAHASSEE
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State | FL
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Zip | 32311-7884
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Country | US
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Telephone | 865-591-7754
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. ERIN NEAL
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Credential | OD
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Telephone | 865-591-7754
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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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