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General NPI Number Information
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NPI Number | 1154877090
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Entity Type | Organization
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Legal Business Name | MS EYE CONSULTANTS LLC
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 1628 HIGHWAY 30 EAST
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City | OXFORD
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State | MS
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Zip | 38655
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Country | US
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Telephone | 662-234-3937
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Fax |
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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 |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | HANNAH MAYO
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Credential |
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Telephone | 662-234-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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