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General NPI Number Information
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NPI Number | 1447499181
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Entity Type | Organization
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Legal Business Name | ORANGEBURG FAMILY EYE CARE, LLC
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Dates
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Enumeration Date | 02/19/2009
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Last Update Date | 02/19/2009
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Provider Practice Location Address
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Address Line | 1605 CAROLINA AVENUE
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City | ORANGEBURG
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State | SC
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Zip | 29115-4939
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Country | US
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Telephone | 803-534-2352
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Fax | 803-534-2180
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Provider Business Mailing Address
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Address Line | 1605 CAROLINA AVENUE
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City | ORANGEBURG
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State | SC
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Zip | 29115-4939
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Country | US
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Telephone | 803-534-2352
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Fax | 803-534-2180
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Authorized Official
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Title or Position | OWNER/OPTPMETRIST
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Name | DR. ROBERT M CRESS
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Credential | OD
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Telephone | 803-534-2352
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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 | 559
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License Number State | SC
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