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General NPI Number Information
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NPI Number | 1316344567
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Entity Type | Organization
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Legal Business Name | CARY EYE CENTER, PLLC
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Dates
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Enumeration Date | 12/03/2014
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Last Update Date | 12/03/2014
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Provider Practice Location Address
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Address Line | 1011 W WILLIAMS ST SUITE 103
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City | APEX
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State | NC
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Zip | 27502-3979
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Country | US
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Telephone | 919-322-1995
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Fax |
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Provider Business Mailing Address
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Address Line | 1011 W WILLIAMS ST SUITE 103
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City | APEX
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State | NC
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Zip | 27502-3979
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Country | US
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Telephone | 919-322-1995
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Fax |
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | DR. KEVIN D O'NEAL
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Credential | M.D., PH.D
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Telephone | 919-322-1995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 79456
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License Number State | NC
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