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General NPI Number Information
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NPI Number | 1053167239
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Entity Type | Individual
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Provider Name | JODIE FARNETTI POPE OD
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Gender | Female
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Dates
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Enumeration Date | 04/29/2024
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 223 PIERSON AVE # 2332
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City | CENTREVILLE
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State | AL
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Zip | 35042-2919
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Country | US
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Telephone | 205-926-4816
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Fax |
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Provider Business Mailing Address
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Address Line | 223 PIERSON AVE # 2332
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City | CENTREVILLE
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State | AL
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Zip | 35042-2919
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Country | US
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Telephone | 205-926-4816
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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 | S-F34-TA-D28
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License Number State | AL
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