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General NPI Number Information
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NPI Number | 1942572565
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Entity Type | Organization
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Legal Business Name | SIGHT AND SUN EYEWORKS TALLAHASSEE INC
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Dates
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Enumeration Date | 01/27/2012
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Last Update Date | 07/31/2012
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Provider Practice Location Address
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Address Line | 547 N MONROE ST SUITE A
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City | TALLAHASSEE
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State | FL
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Zip | 32301-0619
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Country | US
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Telephone | 850-224-1184
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Fax | 850-224-0884
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Provider Business Mailing Address
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Address Line | 5113 N DAVIS HWY
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City | PENSACOLA
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State | FL
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Zip | 32503-2035
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Country | US
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Telephone | 850-479-7379
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Fax | 850-497-6219
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Authorized Official
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Title or Position | OD
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Name | DR. KATIE SPEAR
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Credential | OD
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Telephone | 850-224-1184
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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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