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General NPI Number Information
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NPI Number | 1750999827
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Entity Type | Organization
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Legal Business Name | ERIN M NEAL OD, PA
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 07/15/2020
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Provider Practice Location Address
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Address Line | 1535 CENTERVILLE RD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-4605
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Country | US
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Telephone | 865-591-7754
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Fax |
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Provider Business Mailing Address
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Address Line | 2124 FERNLEIGH DR
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City | TALLAHASSEE
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State | FL
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Zip | 32311-7884
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Country | US
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Telephone | 865-591-7754
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERIN M NEAL
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Credential | OD, MS
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Telephone | 865-591-7754
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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 |
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License Number State |
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