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General NPI Number Information
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NPI Number | 1659947729
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Entity Type | Organization
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Legal Business Name | PREMIER EYE ASSOCIATES AT AUBURN MALL, LLC
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Dates
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Enumeration Date | 05/31/2021
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 1627 OPELIKA RD STE 23
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City | AUBURN
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State | AL
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Zip | 36830-2827
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Country | US
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Telephone | 334-591-1176
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Fax | 334-539-5391
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Provider Business Mailing Address
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Address Line | 2900 E UNIVERSITY DR STE 110
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City | AUBURN
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State | AL
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Zip | 36830-7729
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Country | US
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Telephone | 334-539-5391
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Fax | 334-539-5390
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Authorized Official
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Title or Position | MANAGER, OWNER
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Name | DR. ANTHONY SPINA
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Credential | OD
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Telephone | 334-734-2044
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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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