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General NPI Number Information
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NPI Number | 1811106628
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Entity Type | Organization
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Legal Business Name | NEIL S OCONNOR DPM
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 11/28/2007
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Provider Practice Location Address
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Address Line | 230 MORGANTON BLVD SW
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City | LENOIR
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State | NC
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Zip | 28645-5243
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Country | US
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Telephone | 828-754-8886
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Fax |
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Provider Business Mailing Address
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Address Line | 230 MORGANTON BLVD SW
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City | LENOIR
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State | NC
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Zip | 28645-5243
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | NEIL S OCONNOR
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Credential |
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Telephone | 828-754-8886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 253
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License Number State | NC
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