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General NPI Number Information
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NPI Number | 1801559281
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Entity Type | Organization
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Legal Business Name | DRY EYE CENTER OF NORTH CAROLINA, PLLC
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Dates
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Enumeration Date | 10/21/2021
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 8305 FALLS OF NEUSE RD STE 204
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City | RALEIGH
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State | NC
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Zip | 27615-3547
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Country | US
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Telephone | 919-568-1332
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Fax | 833-471-4410
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Provider Business Mailing Address
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Address Line | PO BOX 1027
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City | MORRISVILLE
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State | NC
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Zip | 27560
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Country | US
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Telephone | 919-568-1332
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Fax | 833-471-4410
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Authorized Official
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Title or Position | COO
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Name | RENZO A ZALDIVAR
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Credential |
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Telephone | 954-816-8475
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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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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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