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General NPI Number Information
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NPI Number | 1316007701
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Entity Type | Organization
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Legal Business Name | ROBINS EYE CARE LLC
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3035 WATSON BLVD SUITE 4
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City | WARNER ROBINS
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State | GA
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Zip | 31093
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Country | US
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Telephone | 478-953-1000
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Fax | 478-953-1003
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Provider Business Mailing Address
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Address Line | 3035 WATSON BLVD SUITE 4
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City | WARNER ROBINS
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State | GA
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Zip | 31093
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Country | US
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Telephone | 478-953-1000
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Fax | 478-953-1003
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Authorized Official
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Title or Position | OPTOMETRIST OWNER
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Name | ANITHA KANNAN
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Credential |
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Telephone | 478-953-1000
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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 | GA 1927
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License Number State | GA
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