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General NPI Number Information
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NPI Number | 1639962244
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Entity Type | Organization
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Legal Business Name | DRAGONFLY FINE EYEWEAR, LLC
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 1345 OPELIKA RD STE F
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City | AUBURN
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State | AL
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Zip | 36830-3339
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Country | US
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Telephone | 334-379-6157
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Fax |
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Provider Business Mailing Address
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Address Line | 2002 LEE ROAD 86
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City | WAVERLY
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State | AL
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Zip | 36879
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Country | US
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Telephone | 334-379-6157
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Fax |
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | TIFFANY M RHYNE
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Credential | OD
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Telephone | 334-379-6157
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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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