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General NPI Number Information
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NPI Number | 1518953470
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Entity Type | Organization
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Legal Business Name | PREMIER EYE CARE ASSOC. PC
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Dates
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Enumeration Date | 09/26/2005
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 136 HOSPITAL DRIVE SUITE A
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City | BLAIRSVILLE
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State | GA
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Zip | 30512-3102
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Country | US
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Telephone | 706-745-0567
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Fax | 706-745-0556
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Provider Business Mailing Address
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Address Line | 136 HOSPITAL DRIVE SUITE A
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City | BLAIRSVILLE
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State | GA
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Zip | 30512-3102
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Country | US
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Telephone | 706-745-0567
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Fax | 706-745-0556
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Authorized Official
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Title or Position | OWNER
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Name | DR. LINDA ANN SZEKERESH
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Credential | DO
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Telephone | 706-632-6989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 049674
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License Number State | GA
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