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General NPI Number Information
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NPI Number | 1760445449
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Entity Type | Individual
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Provider Name | SUSAN T DISARIO OD
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Gender | Female
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 4 OKATIE CTR BLVD SUITE 102
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City | BLUFFTON
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State | SC
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Zip | 29909-7529
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Country | US
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Telephone | 843-705-3333
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Fax | 843-705-3334
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Provider Business Mailing Address
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Address Line | 4720 WATERS AVE
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City | SAVANNAH
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State | GA
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Zip | 31404-6292
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Country | US
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Telephone | 912-354-4800
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Fax | 912-629-5821
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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 | 1048
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License Number State | SC
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