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General NPI Number Information
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NPI Number | 1346408457
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Entity Type | Organization
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Legal Business Name | RENOPTICS INC.
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Dates
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Enumeration Date | 05/26/2008
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 4400 SHARON RD
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City | CHARLOTTE
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State | NC
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Zip | 28211-3531
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Country | US
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Telephone | 704-364-4300
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Fax |
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Provider Business Mailing Address
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Address Line | 4400 SHARON RD
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City | CHARLOTTE
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State | NC
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Zip | 28211-3531
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Country | US
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Telephone | 704-364-4300
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OPTICIAN
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Name | MR. WILLIAM THOMAS RENFROW
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Credential | R.O.
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Telephone | 704-364-4300
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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 | 692
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License Number State | NC
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