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General NPI Number Information
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NPI Number | 1598798100
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Entity Type | Individual
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Provider Name | MARK W GIFFORD O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 02/15/2009
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Provider Practice Location Address
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Address Line | 3219 PINEVILLE MATTHEWS RD
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City | CHARLOTTE
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State | NC
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Zip | 28226-9301
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Country | US
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Telephone | 704-541-0468
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Fax | 704-542-0318
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Provider Business Mailing Address
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Address Line | 3219 PINEVILLE MATTHEWS RD
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City | CHARLOTTE
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State | NC
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Zip | 28226-9301
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Country | US
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Telephone | 704-541-0468
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Fax | 704-542-0318
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2112
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2006017274
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1515
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License Number State | SC
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