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General NPI Number Information
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NPI Number | 1285920033
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Entity Type | Organization
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Legal Business Name | SCOTT TREFTS OD PLC
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 06/21/2011
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Provider Practice Location Address
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Address Line | 323 COMMONS RD
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City | ST SIMONS IS
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State | GA
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Zip | 31522-9755
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Country | US
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Telephone | 757-642-7815
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Fax |
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Provider Business Mailing Address
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Address Line | 323 COMMONS RD
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City | ST SIMONS IS
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State | GA
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Zip | 31522-9755
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Country | US
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Telephone | 757-642-7815
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. SCOTT TREFTS
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Credential | OD
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Telephone | 757-642-7815
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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 | OPT002639
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License Number State | GA
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