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General NPI Number Information
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NPI Number | 1598458085
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Entity Type | Organization
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Legal Business Name | RAYS AND SHADES
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Dates
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Enumeration Date | 05/31/2023
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Last Update Date | 05/31/2023
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Provider Practice Location Address
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Address Line | 4725 ASHFORD DUNWOODY RD
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City | DUNWOODY
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State | GA
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Zip | 30338-5561
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Country | US
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Telephone | 770-481-0603
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Fax |
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Provider Business Mailing Address
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Address Line | 1809 REMINGTON RD
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City | ATLANTA
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State | GA
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Zip | 30341-1441
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Country | US
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Telephone | 404-451-7008
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. MEHA TRIVEDI
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Credential | OD
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Telephone | 404-451-7008
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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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