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General NPI Number Information
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NPI Number | 1750471215
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Entity Type | Individual
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Provider Name | RON NOBLE OD
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3383 BUFORD DR
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City | BUFORD
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State | GA
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Zip | 30519-4985
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Country | US
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Telephone | 770-831-4787
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Fax |
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Provider Business Mailing Address
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Address Line | 4850 GOLDEN PKWY STE.B #175
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City | BUFORD
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State | GA
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Zip | 30518-1742
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Country | US
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Telephone | 770-815-8629
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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 | 1219
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License Number State | GA
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