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General NPI Number Information
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NPI Number | 1669980108
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Entity Type | Organization
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Legal Business Name | RESOLUTION EYE CARE,LLC
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Dates
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Enumeration Date | 01/18/2018
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 1011 GALLATIN AVE
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City | NASHVILLE
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State | TN
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Zip | 37206-3231
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Country | US
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Telephone | 615-988-5356
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Fax | 615-649-5426
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Provider Business Mailing Address
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Address Line | 1011 GALLATIN AVE
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City | NASHVILLE
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State | TN
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Zip | 37206-3231
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Country | US
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Telephone | 615-988-5356
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Fax | 615-649-5426
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | BRIAN ROGERS
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Credential | OD
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Telephone | 270-791-2699
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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 | 3213
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License Number State | TN
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