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General NPI Number Information
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NPI Number | 1811223852
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Entity Type | Organization
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Legal Business Name | GEORGIA/CAROLINA SAFETY SPECIALTIES INC
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Dates
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Enumeration Date | 10/27/2009
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Last Update Date | 10/27/2009
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Provider Practice Location Address
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Address Line | 59 WOODRUFF INDUSTRIAL LN SUITE A
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City | GREENVILLE
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State | SC
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Zip | 29607-4147
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Country | US
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Telephone | 864-289-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 59 WOODRUFF INDUSTRIAL LN SUITE A
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City | GREENVILLE
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State | SC
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Zip | 29607-4147
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Country | US
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Telephone | 864-289-0000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. CYNTHIA PARKER
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Credential |
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Telephone | 864-289-0000
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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 | 1573
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License Number State | SC
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