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General NPI Number Information
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NPI Number | 1538199716
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Entity Type | Organization
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Legal Business Name | DRS. NORTH & WATSON, OPTOMETRISTS P. A.
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 344 E BROADWAY MALL OF AMERICA
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City | BLOOMINGTON
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State | MN
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Zip | 55425-5514
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Country | US
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Telephone | 952-858-8404
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Fax | 952-858-8408
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Provider Business Mailing Address
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Address Line | 344 E BROADWAY MALL OF AMERICA
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City | BLOOMINGTON
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State | MN
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Zip | 55425-5514
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Country | US
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Telephone | 952-858-8404
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Fax | 952-858-8408
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MS. KARIN BANERJEE
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Credential |
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Telephone | 651-639-0409
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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 |
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License Number State |
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