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General NPI Number Information
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NPI Number | 1720637440
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Entity Type | Individual
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Provider Name | SAMANTHA L DUNNINGTON OD
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Gender | Female
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 310 S CHURCH ST
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City | BURLINGTON
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State | NC
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Zip | 27215-3711
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Country | US
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Telephone | 336-222-1720
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Fax |
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Provider Business Mailing Address
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Address Line | 1323 NEW GARDEN RD
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City | GREENSBORO
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State | NC
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Zip | 27410-2722
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Country | US
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Telephone | 336-292-4516
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Fax |
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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 | 2570
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 2570
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License Number State | NC
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