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General NPI Number Information
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NPI Number | 1548374820
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Entity Type | Organization
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Legal Business Name | ASHEBORO OPHTHALMOLOGY ASSOC II PA
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 220 FOUST ST
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City | ASHEBORO
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State | NC
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Zip | 27203-5404
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Country | US
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Telephone | 336-629-1451
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Fax | 336-629-3989
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Provider Business Mailing Address
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Address Line | 220C FOUST STREET
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City | ASHEBORO
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State | NC
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Zip | 27203
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Country | US
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Telephone | 336-629-1451
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Fax | 336-629-3989
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | MR. ROBERT O HANDLEY
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Credential | MD
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Telephone | 336-629-1451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | NC
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