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General NPI Number Information
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NPI Number | 1811167646
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Entity Type | Organization
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Legal Business Name | DR. EARL M. POLLOCK, OD
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Dates
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Enumeration Date | 03/07/2008
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Last Update Date | 05/11/2021
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Provider Practice Location Address
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Address Line | 3282 WESTERN BRANCH BLVD
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5261
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Country | US
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Telephone | 757-484-8080
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Fax | 757-483-6310
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Provider Business Mailing Address
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Address Line | 3282 WESTERN BRANCH BLVD
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5261
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Country | US
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Telephone | 757-484-8080
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Fax | 757-483-6310
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. EARL M POLLOCK
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Credential | O.D.
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Telephone | 757-484-8080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0618000197
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License Number State | VA
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