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General NPI Number Information
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NPI Number | 1588754766
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Entity Type | Organization
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Legal Business Name | EYEMAX OPTOMETRY, PLLC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 6617 FALLS OF NEUSE RD
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City | RALEIGH
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State | NC
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Zip | 27615-6816
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Country | US
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Telephone | 919-676-1300
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Fax | 919-676-7300
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Provider Business Mailing Address
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Address Line | 6617 FALLS OF NEUSE RD
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City | RALEIGH
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State | NC
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Zip | 27615-6816
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Country | US
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Telephone | 919-676-1300
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Fax | 919-676-7300
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LINDA M. STOLFO
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Credential | O.D.
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Telephone | 919-676-1300
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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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