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General NPI Number Information
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NPI Number | 1104154889
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Entity Type | Organization
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Legal Business Name | CHARLES FRENCH OPTOMETRIST PSC
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 07/14/2015
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Provider Practice Location Address
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Address Line | 1350 S MAIN ST
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City | MADISONVILLE
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State | KY
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Zip | 42431-3380
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Country | US
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Telephone | 270-821-6241
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Fax | 270-821-6279
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Provider Business Mailing Address
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Address Line | 1350 S MAIN ST
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City | MADISONVILLE
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State | KY
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Zip | 42431-3380
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Country | US
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Telephone | 270-821-6241
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Fax | 270-821-6279
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES L FRENCH
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Credential | OD
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Telephone | 270-821-6241
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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 | 1285DT
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License Number State | KY
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