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General NPI Number Information
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NPI Number | 1326270752
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Entity Type | Organization
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Legal Business Name | NICOLE MCFARLAND, O.D., INC.
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 08/18/2009
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Provider Practice Location Address
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Address Line | 7680 BRANDT PIKE WAL-MART VISION CENTER
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-2340
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Country | US
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Telephone | 937-236-9640
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Fax | 937-236-9657
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Provider Business Mailing Address
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Address Line | 109 SONOMA CT
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City | CLAYTON
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State | OH
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Zip | 45315-8751
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Country | US
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Telephone | 937-219-7008
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. NICOLE LYNN MCFARLAND
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Credential | O.D.
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Telephone | 937-219-7008
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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 | 5491
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License Number State | OH
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