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General NPI Number Information
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NPI Number | 1659341246
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Entity Type | Individual
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Provider Name | GREGORY W DENAEYER O.D.
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Gender | Male
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 04/28/2020
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Provider Practice Location Address
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Address Line | 262 NEIL AVE SUITE 320
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City | COLUMBUS
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State | OH
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Zip | 43215-2362
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Country | US
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Telephone | 614-228-4500
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Fax | 614-384-2966
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Provider Business Mailing Address
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Address Line | 262 NEIL AVE SUITE 320
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City | COLUMBUS
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State | OH
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Zip | 43215-2362
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Country | US
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Telephone | 614-228-4500
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Fax | 614-384-2966
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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 | 4921/T1791
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License Number State | OH
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