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General NPI Number Information
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NPI Number | 1306874078
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Entity Type | Individual
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Provider Name | JOHN W CARY O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 278 MAIN ST
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City | LANDER
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State | WY
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Zip | 82520-3128
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Country | US
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Telephone | 307-332-7284
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Fax | 307-332-7285
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Provider Business Mailing Address
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Address Line | 526 AMORETTI ST
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City | LANDER
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State | WY
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Zip | 82520-2720
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Country | US
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Telephone | 210-870-0440
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2508
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 463T
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License Number State | WY
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