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General NPI Number Information
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NPI Number | 1598427155
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Entity Type | Individual
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Provider Name | ATHENA MARGARITA MEARS OD
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Gender | Female
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Dates
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Enumeration Date | 10/12/2021
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 3900 S HIGHWAY 14 BLDG D
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City | GREENVILLE
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State | SC
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Zip | 29615-7110
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Country | US
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Telephone | 864-235-5335
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Fax |
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Provider Business Mailing Address
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Address Line | 3900 S HIGHWAY 14 STE D
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City | GREENVILLE
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State | SC
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Zip | 29615-7110
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Country | US
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Telephone | 864-235-5335
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 2376
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License Number State | SC
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