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NPI 1548344245

NPI 1548344245 : W.C. ADAMS : BENSON, NC

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General NPI Number Information
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    NPI Number           |    1548344245
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    Entity Type          |    Organization 
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    Legal Business Name  |    W.C. ADAMS 
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Dates
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    Enumeration Date     |    10/25/2006
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    Last Update Date     |    06/18/2012
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Provider Practice Location Address
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    Address Line         |    304 E MAIN ST 
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    City                 |    BENSON
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    State                |    NC
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    Zip                  |    27504-1511
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    Country              |    US
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    Telephone            |    919-894-2001
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    Fax                  |    919-894-3190
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Provider Business Mailing Address
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    Address Line         |    PO BOX 397 
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    City                 |    BENSON
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    State                |    NC
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    Zip                  |    27504-0397
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    Country              |    US
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    Telephone            |    919-894-2001
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    Fax                  |    919-894-3190
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. WILLIAM C ADAMS 
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    Credential           |    O.D.
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    Telephone            |    919-894-2001
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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       |    1368
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    1327
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    License Number State |    NC
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Taxonomy #3
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    770
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    License Number State |    NC
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