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General NPI Number Information
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NPI Number | 1962884262
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Entity Type | Organization
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Legal Business Name | NORTH GEORGIA FAMILY EYE CARE, INC.
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Dates
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Enumeration Date | 06/23/2015
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 79 TURNER RD
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City | DAHLONEGA
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State | GA
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Zip | 30533-0533
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Country | US
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Telephone | 706-864-7007
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Fax |
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Provider Business Mailing Address
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Address Line | 5983 HIGHWAY 53 E SUITE 250
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City | DAWSONVILLE
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State | GA
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Zip | 30534-9513
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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 | PRESIDENT
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Name | DR. MICHAEL C DASINGER
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Credential | OD
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Telephone | 334-618-0930
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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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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 002853
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License Number State | GA
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