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General NPI Number Information
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NPI Number | 1720177322
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Entity Type | Organization
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Legal Business Name | DR JOHN C DRAGON OD & ASSOCIATES
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 11/18/2019
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Provider Practice Location Address
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Address Line | 7525 TIDEWATER DR SUITE 41
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City | NORFOLK
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State | VA
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Zip | 23505-3700
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Country | US
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Telephone | 757-588-5423
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Fax | 757-588-6012
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Provider Business Mailing Address
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Address Line | 7525 TIDEWATER DR SUITE 41
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City | NORFOLK
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State | VA
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Zip | 23505-3700
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Country | US
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Telephone | 757-588-5423
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Fax | 757-588-6012
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Authorized Official
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Title or Position | PARTNER
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Name | DR. JOHN CHRISTOPHER DRAGON
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Credential | O.D.
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Telephone | 757-588-5423
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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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