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General NPI Number Information
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NPI Number | 1740330539
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Entity Type | Individual
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Provider Name | DONALD ROBIN MACQUEEN O.D.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 12/15/2021
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Provider Practice Location Address
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Address Line | 5960 FAIRVIEW RD STE 300
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City | CHARLOTTE
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State | NC
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Zip | 28210-0202
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Country | US
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Telephone | 888-964-6681
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Fax |
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Provider Business Mailing Address
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Address Line | 123 KESTER DR
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City | CHERRYVILLE
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State | NC
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Zip | 28021-9317
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Country | US
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Telephone | 704-487-7708
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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 | 1311
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | S-636
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1262
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License Number State | NC
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