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General NPI Number Information
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NPI Number | 1750358404
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Entity Type | Individual
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Provider Name | BONNY L. EADS O.D.
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Gender | Female
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 02/23/2010
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Provider Practice Location Address
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Address Line | 60 10TH ST N
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City | NAPLES
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State | FL
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Zip | 34102-6217
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Country | US
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Telephone | 239-261-7071
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Fax | 239-263-0807
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Provider Business Mailing Address
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Address Line | 60 10TH ST N
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City | NAPLES
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State | FL
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Zip | 34102-6217
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Country | US
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Telephone | 239-261-7071
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Fax | 239-263-0807
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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 | 918
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License Number State | FL
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