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General NPI Number Information
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NPI Number | 1942819289
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Entity Type | Individual
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Provider Name | BARBARA VAN OD
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Gender | Female
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 7905 LYLES LN NW
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City | CONCORD
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State | NC
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Zip | 28027-7111
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Country | US
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Telephone | 704-979-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 5 DAKOTA DR STE 307
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1106
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Country | US
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Telephone | 877-506-0002
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Fax |
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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 | 2771
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License Number State | NC
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