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General NPI Number Information
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NPI Number | 1912267402
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Entity Type | Organization
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Legal Business Name | GLAUCOMA AND CATARACT ASSOCIATES OF NORTH CAROLINA, PC
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 06/12/2013
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Provider Practice Location Address
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Address Line | 4201 LAKE BOONE TRL SUITE 205
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City | RALEIGH
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State | NC
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Zip | 27607-7512
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Country | US
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Telephone | 919-967-6646
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 LAKE BOONE TRL SUITE 205
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City | RALEIGH
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State | NC
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Zip | 27607-7512
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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 | OWNER/M.D.
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Name | NOUMAN SIDDIQUI
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Credential | M.D.
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Telephone | 919-859-8436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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