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NPI 1831373778

NPI 1831373778 : THE FOCUS GROUP OPTOMETRIC ASSOCIATES PA : HENDERSONVILLE, NC

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General NPI Number Information
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    NPI Number           |    1831373778
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE FOCUS GROUP OPTOMETRIC ASSOCIATES PA 
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Dates
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    Enumeration Date     |    12/27/2007
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    Last Update Date     |    10/08/2008
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Provider Practice Location Address
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    Address Line         |    840 FLEMING ST STE 4
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    City                 |    HENDERSONVILLE
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    State                |    NC
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    Zip                  |    28791-3513
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    Country              |    US
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    Telephone            |    828-697-9909
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    Fax                  |    828-697-6553
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Provider Business Mailing Address
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    Address Line         |    840 FLEMING ST STE 4
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    City                 |    HENDERSONVILLE
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    State                |    NC
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    Zip                  |    28791-3513
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    Country              |    US
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    Telephone            |    828-697-9909
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    Fax                  |    828-697-6553
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     J HOOPER WILLIAMS 
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    Credential           |    OD
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    Telephone            |    828-884-4455
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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       |    1275
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    License Number State |    NC
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