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General NPI Number Information
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NPI Number | 1427629914
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Entity Type | Organization
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Legal Business Name | WOHLERS EYECARE CORP
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Dates
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Enumeration Date | 07/06/2021
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Last Update Date | 07/06/2021
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Provider Practice Location Address
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Address Line | 1535 CENTERVILLE RD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4605
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Country | US
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Telephone | 850-877-0961
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Fax | 850-671-4243
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Provider Business Mailing Address
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Address Line | 1535 CENTERVILLE RD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4605
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Country | US
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Telephone | 850-877-0961
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Fax | 850-671-4243
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Authorized Official
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Title or Position | LICENSED OPTICIAN
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Name | SELINA J PRESTON
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Credential | LDO
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Telephone | 850-247-8304
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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 |
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License Number State |
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