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General NPI Number Information
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NPI Number | 1457817140
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Entity Type | Organization
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Legal Business Name | CUMMING VISION CARE, PC
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Dates
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Enumeration Date | 02/18/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 410 PEACHTREE PKWY STE 220
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City | CUMMING
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State | GA
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Zip | 30041-7098
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Country | US
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Telephone | 770-887-6579
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Fax |
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Provider Business Mailing Address
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Address Line | 401 WINDSOR MANOR CT
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City | DULUTH
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State | GA
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Zip | 30097-5992
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Country | US
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Telephone | 404-308-4864
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. TERI HUNG
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Credential | OD
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Telephone | 404-788-5880
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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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