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General NPI Number Information
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NPI Number | 1639144462
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Entity Type | Individual
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Provider Name | LADY BRITTON AYCOCK O. D.
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Gender | Female
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 301 BOWMAN GRAY DR
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City | GREENVILLE
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State | NC
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Zip | 27834-7204
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Country | US
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Telephone | 252-758-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 3906 FERNWOOD LN
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City | GREENVILLE
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State | NC
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Zip | 27834-7685
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Country | US
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Telephone | 252-353-5735
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1408
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License Number State | NC
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