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General NPI Number Information
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NPI Number | 1518169127
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Entity Type | Individual
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Provider Name | CHRISTINA LYNN DOTY OPTICIAN APPRENTICE
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Gender | Female
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1800 N SKIBO RD ST 148 A
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City | FAYETTEVILLE
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State | NC
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Zip | 28303
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Country | US
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Telephone | 910-487-1863
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Fax | 910-487-5018
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Provider Business Mailing Address
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Address Line | 7008 SALINAS CT
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City | FAYETTEVILLE
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State | NC
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Zip | 28314
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Country | US
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Telephone | 910-308-1578
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Fax | 910-487-5018
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | APPRENTICE
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | APPRENTICE
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License Number State | NC
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