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General NPI Number Information
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NPI Number | 1013043165
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Entity Type | Individual
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Provider Name | DOUGLAS GEORGE BIGGS O.D.
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Gender | Male
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Dates
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Enumeration Date | 02/25/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2301 W WORLEY ST J C PENNEY OPTICAL
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City | COLUMBIA
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State | MO
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Zip | 65203-1085
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Country | US
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Telephone | 573-445-9750
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Fax | 573-445-2917
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Provider Business Mailing Address
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Address Line | 12513 E 40TH ST S APT. E
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City | INDEPENDENCE
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State | MO
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Zip | 64055-4411
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Country | US
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Telephone | 816-252-7343
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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 | T02974
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License Number State | MO
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