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General NPI Number Information
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NPI Number | 1770853483
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Entity Type | Organization
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Legal Business Name | OASIS VISION CARE, OD, PA
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 02/03/2012
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Provider Practice Location Address
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Address Line | 2420 SUPERCENTER DR NE
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City | KANNAPOLIS
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State | NC
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Zip | 28083-6426
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Country | US
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Telephone | 704-766-1130
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Fax |
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Provider Business Mailing Address
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Address Line | 10030 EDISON SQUARE DR NW SUITE 201
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City | CONCORD
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State | NC
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Zip | 28027-8308
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Country | US
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Telephone | 704-766-1130
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JOYCE ADELEKE
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Credential | O.D
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Telephone | 704-766-1130
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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 | 1885
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License Number State | NC
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