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General NPI Number Information
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NPI Number | 1770721565
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR SIGHT, PLLC
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Dates
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Enumeration Date | 02/02/2009
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Last Update Date | 02/02/2009
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Provider Practice Location Address
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Address Line | 4964 UNIVERSITY PKWY STE 105
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City | WINSTON SALEM
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State | NC
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Zip | 27106-2800
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Country | US
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Telephone | 336-744-5550
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Fax | 336-744-5554
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Provider Business Mailing Address
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Address Line | 4964 UNIVERSITY PKWY STE 105
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City | WINSTON SALEM
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State | NC
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Zip | 27106-2800
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Country | US
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Telephone | 336-744-5550
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Fax | 336-744-5554
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Authorized Official
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Title or Position | OPHTHALMOLOGIST
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Name | DR. ANDREA MARIE SCALISEGORDY
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Credential | D.O.
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Telephone | 336-744-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 33196
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License Number State | NC
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