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General NPI Number Information
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NPI Number | 1942328232
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Entity Type | Individual
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Provider Name | GREGORY A. ATKINS O.D.
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Gender | Male
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 1266 SAND BEACH RD
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City | BAD AXE
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State | MI
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Zip | 48413-8817
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Country | US
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Telephone | 989-269-7958
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Fax | 989-269-6013
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Provider Business Mailing Address
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Address Line | PO BOX 249
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City | BAD AXE
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State | MI
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Zip | 48413-0249
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Country | US
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Telephone | 989-269-5393
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Fax | 989-269-6013
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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 | 4901002842
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License Number State | MI
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