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General NPI Number Information
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NPI Number | 1417080342
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Entity Type | Organization
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Legal Business Name | MORGANTON EYE PHYSICIANS, P.A.
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 06/11/2012
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Provider Practice Location Address
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Address Line | 1622 E MARION ST
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City | SHELBY
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State | NC
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Zip | 28150-4939
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Country | US
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Telephone | 704-482-2020
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Fax | 704-482-7707
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Provider Business Mailing Address
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Address Line | 335 E PARKER RD
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City | MORGANTON
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State | NC
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Zip | 28655-5112
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Country | US
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Telephone | 828-433-1000
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Fax | 828-433-6274
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Authorized Official
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Title or Position | BUSINESS MANAGER. MEPPA
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Name | DENNIS W LEE
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Credential |
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Telephone | 828-433-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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