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General NPI Number Information
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NPI Number | 1306004171
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Entity Type | Organization
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Legal Business Name | DR F DONALD COLLEY OPTOMETRIST P A
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Dates
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Enumeration Date | 05/29/2008
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Last Update Date | 01/20/2009
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Provider Practice Location Address
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Address Line | 2105 TOWN ST
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City | PENSACOLA
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State | FL
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Zip | 32505-5117
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Country | US
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Telephone | 850-433-0327
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Fax | 850-432-2159
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Provider Business Mailing Address
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Address Line | 2105 TOWN ST
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City | PENSACOLA
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State | FL
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Zip | 32505-5117
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Country | US
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Telephone | 850-433-0327
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Fax | 850-432-2159
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Authorized Official
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Title or Position | OPTOMETRIST/PRESIDENT
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Name | DR. F DONALD COLLEY
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Credential | O.D.
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Telephone | 850-433-0327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | OPC811
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License Number State | FL
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