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General NPI Number Information
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NPI Number | 1811946460
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Entity Type | Individual
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Provider Name | JAMES F MATTHEWS O.D.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 01/15/2023
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Provider Practice Location Address
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Address Line | 2101 YOUNTS RD
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-8505
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Country | US
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Telephone | 704-893-5555
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Fax | 803-746-0862
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Provider Business Mailing Address
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Address Line | 6211 JACK THOMAS DR
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City | FORT MILL
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State | SC
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Zip | 29707-0170
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Country | US
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Telephone | 803-367-3830
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Fax | 803-746-0862
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1501
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License Number State | NC
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