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General NPI Number Information
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NPI Number | 1740820513
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Entity Type | Organization
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Legal Business Name | HORIZON EYE CARE, PA
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Dates
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Enumeration Date | 01/09/2020
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Last Update Date | 01/09/2020
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Provider Practice Location Address
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Address Line | 10834 MALLARD CREEK ROAD
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City | CHARLOTTE
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State | NC
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Zip | 28262-9786
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Country | US
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Telephone | 704-717-0058
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Fax | 704-717-0333
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Provider Business Mailing Address
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Address Line | PO BOX 60160
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City | CHARLOTTE
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State | NC
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Zip | 28260-0160
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Country | US
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Telephone | 704-365-0555
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Fax | 704-367-8122
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Authorized Official
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Title or Position | MANAGED CARE COORDINATOR
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Name | VICKY SESSOMS HARMON
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Credential |
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Telephone | 704-405-4183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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