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General NPI Number Information
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NPI Number | 1871558320
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Entity Type | Individual
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Provider Name | OHLEN PIERCE CARTMELL O.D.
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 316 2ND ST
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City | MARIETTA
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State | OH
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Zip | 45750-2919
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Country | US
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Telephone | 740-374-3937
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Fax | 740-376-9437
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Provider Business Mailing Address
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Address Line | 316 2ND ST
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City | MARIETTA
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State | OH
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Zip | 45750-2919
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Country | US
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Telephone | 740-374-3937
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Fax | 740-376-9437
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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 | 4269-T046
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 954-OD
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License Number State | WV
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