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General NPI Number Information
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NPI Number | 1083588990
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Entity Type | Organization
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Legal Business Name | K&R OPTICAL SOLUTIONS CORPORATION
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 3304 8TH ST
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City | MERIDIAN
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State | MS
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Zip | 39301-4755
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Country | US
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Telephone | 601-207-5085
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Fax |
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Provider Business Mailing Address
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Address Line | 3304 8TH ST
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City | MERIDIAN
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State | MS
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Zip | 39301-4755
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SHANA THEDFORD
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Credential |
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Telephone | 601-207-5085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 247ZC0005X
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Taxonomy Name | Clinical Laboratory Director (Non-physician)
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License Number |
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License Number State |
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