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General NPI Number Information
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NPI Number | 1881752319
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Entity Type | Organization
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Legal Business Name | ASHEVILLE OPTOMETRIC GROUP PA
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 701 MERRIMON AVENUE
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City | ASHEVILLE
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State | NC
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Zip | 28804
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Country | US
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Telephone | 828-252-5255
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Fax | 828-254-4299
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Provider Business Mailing Address
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Address Line | 701 MERRIMON AVENUE
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City | ASHEVILLE
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State | NC
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Zip | 28804
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Country | US
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Telephone | 828-252-5255
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Fax | 828-254-4299
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Authorized Official
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Title or Position | OD
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Name | VICTOR S NEWTON
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Credential | OD
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Telephone | 828-252-5255
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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 |
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License Number State |
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