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General NPI Number Information
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NPI Number | 1285892935
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Entity Type | Organization
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Legal Business Name | PRECISION EYECARE LLC
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 06/09/2010
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Provider Practice Location Address
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Address Line | 1409 SIXES ROAD
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City | CANTON
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State | GA
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Zip | 30114
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Country | US
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Telephone | 770-852-2733
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 SIXES ROAD
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City | CANTON
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State | GA
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Zip | 30114
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Country | US
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Telephone | 770-852-2733
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. EDWARD JOSEPH FUREY
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Credential | OD
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Telephone | 770-852-2733
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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 | OPT001384
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License Number State | GA
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