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General NPI Number Information
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NPI Number | 1427008291
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Entity Type | Individual
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Provider Name | CRAIG MICHAEL POOLE O.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 02/13/2023
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Provider Practice Location Address
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Address Line | 176 FOUR SEASONS MALL
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City | HENDERSONVILLE
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State | NC
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Zip | 28792-2878
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Country | US
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Telephone | 828-698-3423
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Fax | 838-693-4686
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Provider Business Mailing Address
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Address Line | 1950 OLD GALLOWS RD STE 520
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City | VIENNA
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State | VA
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Zip | 22182-3970
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Country | US
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Telephone | 703-847-8899
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Fax | 571-223-6780
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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 | 1246
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1897
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License Number State | NC
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