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General NPI Number Information
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NPI Number | 1902206204
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Entity Type | Organization
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Legal Business Name | TWENTY 20 OPTOMETRIC GROUP, P.A.
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Dates
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Enumeration Date | 08/25/2014
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Last Update Date | 08/25/2014
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Provider Practice Location Address
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Address Line | 1829 HENDERSONVILLE RD SUITE 60
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City | ASHEVILLE
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State | NC
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Zip | 28803-3246
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Country | US
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Telephone | 828-575-0944
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Fax |
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Provider Business Mailing Address
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Address Line | 793 MORNING STAR RD
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City | CANTON
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State | NC
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Zip | 28716-8055
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AUNDRIA LEAR
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Credential |
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Telephone | 828-734-9223
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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 | 2203
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License Number State | NC
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