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General NPI Number Information
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NPI Number | 1386759868
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Entity Type | Individual
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Provider Name | KURTIS CAUGH OD
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 550 HIGHWAY 17 NORTH
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-2904
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Country | US
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Telephone | 843-281-8181
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Fax | 843-692-3094
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Provider Business Mailing Address
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Address Line | P O BOX 761
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City | LITTLE RIVER
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State | SC
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Zip | 29566-0761
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Country | US
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Telephone | 843-281-8181
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Fax | 843-281-9009
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1184
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License Number State | SC
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