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NPI 1154990349

NPI 1154990349 : DR. JAMES TURNER ALTMAN : PIKEVILLE, KY

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General NPI Number Information
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    NPI Number           |    1154990349
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    Entity Type          |    Individual 
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    Provider Name        |    DR. JAMES TURNER ALTMAN
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/22/2021
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    Last Update Date     |    07/05/2021
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Provider Practice Location Address
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    Address Line         |    147 HIBBARD ST 
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    City                 |    PIKEVILLE
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    State                |    KY
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    Zip                  |    41501-1754
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    Country              |    US
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    Telephone            |    606-471-4803
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    87 BALL PARK ST 
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    City                 |    ALLEN
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    State                |    KY
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    Zip                  |    41601-9414
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    Country              |    US
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    Telephone            |    606-471-4803
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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       |    2230DT
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    License Number State |    KY
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