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General NPI Number Information
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NPI Number | 1669770566
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Entity Type | Organization
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Legal Business Name | TRIANGLE FAMILY EYE CARE OD, PLLC
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Dates
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Enumeration Date | 03/02/2011
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Last Update Date | 03/02/2011
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Provider Practice Location Address
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Address Line | 1200 VILLAGE MARKET PLACE
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City | MORRISVILLE
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State | NC
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Zip | 27560-9394
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Country | US
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Telephone | 919-830-6385
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Fax |
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Provider Business Mailing Address
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Address Line | 108 JULIET CIR
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City | CARY
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State | NC
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Zip | 27513-2863
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. HITEN P PRAJAPATI
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Credential | O.D.
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Telephone | 919-830-6385
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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 | 1964
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License Number State | NC
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