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General NPI Number Information
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NPI Number | 1164609178
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Entity Type | Organization
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Legal Business Name | DUDLEY EYE CARE, P.C.
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 3985 PARKWOOD RD SUITE 101
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City | BESSEMER
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State | AL
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Zip | 35022-5690
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Country | US
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Telephone | 205-424-9608
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Fax | 205-424-9609
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Provider Business Mailing Address
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Address Line | 3985 PARKWOOD RD SUITE 101
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City | BESSEMER
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State | AL
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Zip | 35022-5690
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Country | US
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Telephone | 205-424-9608
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Fax | 205-424-9609
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Authorized Official
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Title or Position | OWNER
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Name | DR. PARISA TACKETT DUDLEY
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Credential | O.D.
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Telephone | 205-424-9608
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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 | SA81TA666
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License Number State | AL
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