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General NPI Number Information
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NPI Number | 1720585706
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Entity Type | Organization
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Legal Business Name | OASIS EYECARE-PLLC
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 04/06/2018
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Provider Practice Location Address
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Address Line | 1341 ROCK SPRINGS RD
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City | SMYRNA
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State | TN
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Zip | 37167-6108
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Country | US
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Telephone | 615-933-8682
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2195
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City | ANTIOCH
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State | TN
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Zip | 37011-2195
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Country | US
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Telephone | 615-933-8682
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | FRANKIE GOOLSBY
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Credential | OD
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Telephone | 615-933-8682
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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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