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General NPI Number Information
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NPI Number | 1548345689
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Entity Type | Organization
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Legal Business Name | JOHNSON & JOHNSON DOCTORS OF OPTOMETRY, PA
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 2800 N ELM ST BIGGS PARK MALL
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City | LUMBERTON
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State | NC
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Zip | 28358-3000
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Country | US
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Telephone | 910-738-6464
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Fax | 910-738-4944
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Provider Business Mailing Address
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Address Line | 2800 N ELM ST BIGGS PARK MALL
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City | LUMBERTON
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State | NC
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Zip | 28358-3000
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Country | US
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Telephone | 910-738-6464
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Fax | 910-738-4944
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. ASHLEY N JOHNSON
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Credential |
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Telephone | 910-738-6464
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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 | NC1327
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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 | NC2207
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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 | NC1368
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License Number State | NC
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