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General NPI Number Information
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NPI Number | 1851480347
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Entity Type | Organization
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Legal Business Name | CONTACT LENS INSTITUTE, OPTOMETRY, PA
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 10/17/2008
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Provider Practice Location Address
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Address Line | 7016 HARPS MILL RD STE 103
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City | RALEIGH
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State | NC
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Zip | 27615-3243
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Country | US
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Telephone | 919-847-6889
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Fax | 919-847-2441
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Provider Business Mailing Address
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Address Line | 7016 HARPS MILL RD STE 103
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City | RALEIGH
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State | NC
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Zip | 27615-3243
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Country | US
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Telephone | 919-847-6889
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Fax | 919-847-2441
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Authorized Official
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Title or Position | DR
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Name | DR. DORIS CHIN
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Credential | OD
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Telephone | 919-847-6889
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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 | 1148
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License Number State | NC
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