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General NPI Number Information
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NPI Number | 1376576777
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Entity Type | Organization
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Legal Business Name | NORTH CAROLINA CORRECTION ENTERPRISES OPTICAL
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 2869 US HIGHWAY 64A
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City | NASHVILLE
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State | NC
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Zip | 27856-8765
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Country | US
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Telephone | 888-388-1353
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Fax | 252-459-7400
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Provider Business Mailing Address
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Address Line | 2869 US HIGHWAY 64A
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City | NASHVILLE
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State | NC
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Zip | 27856-8765
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Country | US
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Telephone | 888-388-1353
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Fax | 252-459-7400
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Authorized Official
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Title or Position | CORRECTION ENTERPRISES DIRECTOR II
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Name | MR. ROBERT H. LEON
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Credential |
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Telephone | 919-716-3647
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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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