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General NPI Number Information
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NPI Number | 1871717199
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Entity Type | Organization
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Legal Business Name | RAINBOW CITY FAMILY EYE CARE LLC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/19/2013
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Provider Practice Location Address
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Address Line | 2040 2ND AVE E SUITE B
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City | ONEONTA
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State | AL
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Zip | 35121-2731
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Country | US
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Telephone | 205-625-3937
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Fax | 205-625-3938
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Provider Business Mailing Address
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Address Line | 2040 2ND AVE E SUITE B
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City | ONEONTA
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State | AL
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Zip | 35121-2731
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Country | US
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Telephone | 205-625-3937
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Fax | 205-466-7155
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAROLD E HARRISON
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Credential | O.D
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Telephone | 205-625-3937
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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 | 302
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License Number State | AL
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