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General NPI Number Information
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NPI Number | 1457520728
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Entity Type | Organization
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Legal Business Name | COBB EYE CENTER, LLP
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 1680 MULKEY RD SUITE C
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City | AUSTELL
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State | GA
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Zip | 30106-1118
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Country | US
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Telephone | 770-944-0933
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Fax | 770-944-6456
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Provider Business Mailing Address
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Address Line | 130 VANN ST NE SUITE 230
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City | MARIETTA
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State | GA
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Zip | 30060-7230
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Country | US
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Telephone | 770-425-1341
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Fax | 770-428-6484
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. UNA MARGARET FELTNER
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Credential |
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Telephone | 770-425-1341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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