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General NPI Number Information
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NPI Number | 1518015072
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Entity Type | Individual
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Provider Name | RITA SINKOE BOTNICK OD
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Gender | Female
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 807 RALPH DAVID ABERNATHY BLVD
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City | ATLANTA
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State | GA
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Zip | 30310
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Country | US
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Telephone | 404-755-4300
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Fax | 404-755-8626
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Provider Business Mailing Address
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Address Line | 245 WINDSOR GATE COVE
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City | ATLANTA
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State | GA
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Zip | 30342
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Country | US
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Telephone | 404-943-1717
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Fax | 404-943-1717
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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 | 1144
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License Number State | GA
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