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General NPI Number Information
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NPI Number | 1336872936
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Entity Type | Organization
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Legal Business Name | NC DOCTORS OF OPTOMETRY PLLC
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Dates
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Enumeration Date | 07/01/2022
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 8561 CONCORD MILLS BLVD STE B
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City | CONCORD
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State | NC
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Zip | 28027-5408
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Country | US
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Telephone | 704-979-8234
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Fax | 704-979-4197
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Provider Business Mailing Address
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Address Line | PO BOX 842830
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City | DALLAS
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State | TX
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Zip | 75284-2830
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DOLSIE MCDONALD
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Credential |
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Telephone | 726-444-4078
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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 |
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License Number State |
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