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General NPI Number Information
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NPI Number | 1619731171
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Entity Type | Organization
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Legal Business Name | CAME HOME SEEING
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Dates
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Enumeration Date | 02/06/2024
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 7050 HIGHWAY 85
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City | RIVERDALE
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State | GA
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Zip | 30274-2981
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Country | US
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Telephone | 470-693-8184
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Fax |
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Provider Business Mailing Address
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Address Line | 1441 WOODMONT LN NW # 2040
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City | ATLANTA
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State | GA
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Zip | 30318-2866
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | SHARONDA BRADLEY GYIMAH
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Credential | OD
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Telephone | 470-693-8184
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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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