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General NPI Number Information
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NPI Number | 1962123612
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Entity Type | Individual
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Provider Name | EMILY DIANNA HOWARD OD
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Gender | Female
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Dates
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Enumeration Date | 09/09/2022
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Last Update Date | 09/09/2022
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Provider Practice Location Address
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Address Line | 11030 GOLF LINKS DR STE 204
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City | CHARLOTTE
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State | NC
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Zip | 28277-8047
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Country | US
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Telephone | 704-943-5110
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Fax |
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Provider Business Mailing Address
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Address Line | 127 KING CHARLES RD
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City | COLUMBIA
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State | SC
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Zip | 29209-2239
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Country | US
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Telephone | 803-521-7987
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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 | 2363
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2699
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License Number State | NC
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