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General NPI Number Information
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NPI Number | 1720961816
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Entity Type | Organization
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Legal Business Name | ALL AGES EYE
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 4 DOCTORS PARK STE J1
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City | ASHEVILLE
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State | NC
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Zip | 28801-4537
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Country | US
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Telephone | 864-650-5506
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Fax |
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Provider Business Mailing Address
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Address Line | 4 DOCTORS PARK STE J1
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City | ASHEVILLE
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State | NC
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Zip | 28801-4537
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Country | US
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Telephone | 828-229-2486
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Fax |
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Authorized Official
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Title or Position | BILLER
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Name | GWENN STINNETT
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Credential |
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Telephone | 828-551-1157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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