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General NPI Number Information
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NPI Number | 1821529249
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Entity Type | Organization
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Legal Business Name | CORTE AND WRUBLE, OD, PLLC
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 05/13/2020
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Provider Practice Location Address
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Address Line | 6801 NORTHLAKE MALL DR
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City | CHARLOTTE
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State | NC
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Zip | 28216-0711
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Country | US
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Telephone | 704-509-4490
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1330
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City | BELMONT
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State | NC
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Zip | 28012-1330
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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/OWNER
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Name | RACHAEL WRUBLE
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Credential |
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Telephone | 704-860-9944
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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 | 2165
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License Number State | NC
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