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General NPI Number Information
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NPI Number | 1285613844
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Entity Type | Organization
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Legal Business Name | PIEDMONT EYE PHYSICIANS AND SURGEONS, PA
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 04/01/2009
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Provider Practice Location Address
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Address Line | 530 CORPORATE CIRCLE
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City | SALISBURY
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State | NC
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Zip | 28147
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Country | US
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Telephone | 704-637-0158
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Fax | 704-637-7710
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Provider Business Mailing Address
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Address Line | 530 CORPORATE CIRCLE
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City | SALISBURY
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State | NC
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Zip | 28147
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Country | US
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Telephone | 704-637-0158
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Fax | 704-637-7710
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN OZMENT REYNOLDS
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Credential | M.D.
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Telephone | 704-637-0158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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