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General NPI Number Information
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NPI Number | 1689666968
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Entity Type | Individual
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Provider Name | CRYSTAL M CARRINGTON-HELLIER O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/22/2005
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Last Update Date | 11/23/2009
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Provider Practice Location Address
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Address Line | E6112 E BLUFFVIEW RD SUITE 102
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City | IRONWOOD
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State | MI
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Zip | 49938-9367
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Country | US
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Telephone | 906-932-1436
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Fax | 906-932-0644
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Provider Business Mailing Address
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Address Line | N10565 GRANDVIEW LN
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City | IRONWOOD
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State | MI
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Zip | 49938-9622
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Country | US
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Telephone | 906-932-1500
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Fax | 906-932-4585
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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 | 4901004267
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License Number State | MI
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