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General NPI Number Information
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NPI Number | 1285803189
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Entity Type | Organization
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Legal Business Name | J. MARK SAUNDERS OD P A
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Dates
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Enumeration Date | 02/25/2008
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 4637 MAIN ST
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City | SHALLOTTE
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State | NC
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Zip | 28470-4453
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Country | US
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Telephone | 910-754-9687
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Fax | 910-755-9891
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Provider Business Mailing Address
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Address Line | 4637 MAIN ST
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City | SHALLOTTE
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State | NC
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Zip | 28470-4453
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Country | US
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Telephone | 910-754-9687
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Fax | 910-755-9891
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. J. MARK SAUNDERS
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Credential |
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Telephone | 910-754-9687
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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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