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General NPI Number Information
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NPI Number | 1467820704
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Entity Type | Individual
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Provider Name | TYLER STIEGEMEIER OD
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Gender | Male
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Dates
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Enumeration Date | 09/03/2015
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 200 W WEAVER ST STE 110
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City | CARRBORO
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State | NC
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Zip | 27510-6009
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Country | US
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Telephone | 919-968-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 5004 ALENJA LN
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City | RALEIGH
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State | NC
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Zip | 27616-5026
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Country | US
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Telephone |
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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 | 2435
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License Number State | NC
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