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General NPI Number Information
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NPI Number | 1053935023
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Entity Type | Individual
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Provider Name | KATIE STUCKEY AMANN OD
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Gender | Female
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 1628 HIGHWAY 30 E
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City | OXFORD
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State | MS
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Zip | 38655-2319
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Country | US
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Telephone | 662-234-3937
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Fax | 662-234-3898
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Provider Business Mailing Address
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Address Line | PO BOX 1520
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City | OXFORD
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State | MS
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Zip | 38655-1520
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Country | US
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Telephone | 662-234-3937
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Fax | 662-234-3898
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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 | 1013
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License Number State | MS
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