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General NPI Number Information
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NPI Number | 1861753295
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Entity Type | Organization
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Legal Business Name | BETTER VISION OPTOMETRIC CENTER, PA
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Dates
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Enumeration Date | 06/01/2012
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Last Update Date | 06/14/2013
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Provider Practice Location Address
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Address Line | 1669 OWEN DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3425
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Country | US
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Telephone | 910-323-3698
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Fax | 910-323-3491
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Provider Business Mailing Address
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Address Line | 3771 RAMSEY ST SUITE 109-137
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City | FAYETTEVILLE
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State | NC
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Zip | 28311-7675
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Country | US
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Telephone | 910-323-3698
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Fax | 910-323-3491
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Authorized Official
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Title or Position | OWNER/OPTOMETRIST
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Name | DR. WILLIAM CHRISTOPHER HOLLAND
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Credential | OD
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Telephone | 910-308-3190
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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 | 1547
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License Number State | NC
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