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General NPI Number Information
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NPI Number | 1477177319
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Entity Type | Individual
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Provider Name | ERIN NEAL OD
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Gender | Female
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Dates
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Enumeration Date | 06/06/2020
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Last Update Date | 06/20/2023
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Provider Practice Location Address
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Address Line | 2176 CAPITAL CIR SE STE 301
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City | TALLAHASSEE
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State | FL
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Zip | 32301-6267
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Country | US
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Telephone | 850-391-8900
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Fax | 850-391-8902
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Provider Business Mailing Address
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Address Line | 2124 FERNLEIGH DR
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City | TALLAHASSEE
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State | FL
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Zip | 32311-7884
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Country | US
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Telephone | 850-391-8900
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Fax | 850-391-8902
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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 | OPC5786
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License Number State | FL
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