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General NPI Number Information
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NPI Number | 1497919393
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Entity Type | Organization
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Legal Business Name | EYE ASSOCIATES, PLLC
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Dates
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Enumeration Date | 07/10/2008
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 3660 TEAYS VALLEY ROAD
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City | HURRICANE
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State | WV
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Zip | 25526
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Country | US
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Telephone | 304-757-8700
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Fax | 304-757-8870
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Provider Business Mailing Address
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Address Line | PO BOX 900
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City | HURRICANE
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State | WV
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Zip | 25526-0900
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Country | US
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Telephone | 304-757-8700
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Fax | 304-757-8870
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Authorized Official
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Title or Position | MEMBER
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Name | DR. DEVIN AUDRIC KING
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Credential | M.D.
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Telephone | 304-757-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 21181
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License Number State | WV
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