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General NPI Number Information
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NPI Number | 1598073298
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Entity Type | Organization
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Legal Business Name | FSZ OPTOMETRY LLC
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 09/16/2010
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Provider Practice Location Address
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Address Line | 2972 CHAIN BRIDGE RD SUITE C
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City | OAKTON
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State | VA
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Zip | 22124-3000
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Country | US
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Telephone | 703-255-1533
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Fax | 703-255-3377
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Provider Business Mailing Address
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Address Line | 2972 CHAIN BRIDGE RD SUITE C
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City | OAKTON
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State | VA
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Zip | 22124-3000
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Country | US
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Telephone | 703-255-1533
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Fax | 703-255-3377
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. STEPHEN W HINKLE
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Credential | O.D.
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Telephone | 703-250-1533
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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 | 0618001162
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License Number State | VA
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