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General NPI Number Information
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NPI Number | 1801987912
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Entity Type | Organization
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Legal Business Name | GONTAREK EYE CARE OPTOMETRISTS LLC
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 07/20/2012
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Provider Practice Location Address
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Address Line | 501 BATTLEFIELD BLVD N SUITE B
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4947
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Country | US
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Telephone | 757-966-2206
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Fax | 757-966-2743
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Provider Business Mailing Address
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Address Line | 501 BATTLEFIELD BLVD N SUITE B
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City | CHESAPEAKE
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State | VA
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Zip | 23320-4947
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Country | US
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Telephone | 757-966-2206
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Fax | 757-966-2743
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Authorized Official
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Title or Position | OWNER
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Name | LISA V GONTAREK
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Credential | OD
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Telephone | 757-966-2206
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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 | 0618001300
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License Number State | VA
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