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General NPI Number Information
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NPI Number | 1043206105
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Entity Type | Individual
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Provider Name | DARREN MORGAN PATRICK OD
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Gender | Male
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 10001 TAYLORSVILLE RD
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City | LOUISVILLE
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State | KY
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Zip | 40299-3116
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Country | US
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Telephone | 502-290-6444
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Fax | 502-290-5645
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Provider Business Mailing Address
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Address Line | 10001 TAYLORSVILLE RD STE D
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City | LOUISVILLE
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State | KY
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Zip | 40299-3116
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Country | US
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Telephone | 502-290-6444
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Fax | 502-290-5645
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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 | 1488DT
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License Number State | KY
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