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General NPI Number Information
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NPI Number | 1457463275
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Entity Type | Individual
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Provider Name | CYNTHIA G CHARNETSKI OD
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 220 PEMBROKE DR STE 100
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City | HILTON HEAD ISLAND
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State | SC
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Zip | 29926-6200
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Country | US
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Telephone | 843-785-2525
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Fax | 843-705-1512
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Provider Business Mailing Address
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Address Line | PO BOX 117556
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City | ATLANTA
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State | GA
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Zip | 30368-7556
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Country | US
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Telephone | 843-521-2020
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Fax |
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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 | OEG000426
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License Number State | PA
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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 | 2499
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License Number State | SC
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