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General NPI Number Information
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NPI Number | 1669647111
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Entity Type | Organization
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Legal Business Name | CATARACT CONSULTANTS PA
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 04/25/2008
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Provider Practice Location Address
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Address Line | 14 DOCTORS CIR SUITE 1
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City | SUPPLY
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State | NC
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Zip | 28462-4097
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Country | US
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Telephone | 910-256-4899
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Fax |
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Provider Business Mailing Address
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Address Line | 1135 MILITARY CUTOFF RD SUITE 201
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City | WILMINGTON
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State | NC
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Zip | 28405-3966
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Country | US
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Telephone | 910-256-4899
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAURA LEE HARRIS
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Credential | MD
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Telephone | 910-256-4899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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