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General NPI Number Information
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NPI Number | 1033226261
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Entity Type | Organization
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Legal Business Name | KIMBERLY D. OCAMPO, OD, PC
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 823 6TH AVE SE
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City | DECATUR
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State | AL
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Zip | 35601-3021
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Country | US
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Telephone | 256-353-1871
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Fax | 256-350-2140
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Provider Business Mailing Address
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Address Line | 823 6TH AVE SE
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City | DECATUR
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State | AL
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Zip | 35601-3021
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Country | US
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Telephone | 256-353-1871
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Fax | 256-350-2140
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Authorized Official
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Title or Position | PRESIDENT
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Name | KIMBERLY D OCAMPO
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Credential | O.D.
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Telephone | 256-353-1871
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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 | S-B44-TA-731
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License Number State | AL
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