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General NPI Number Information
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NPI Number | 1184206294
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Entity Type | Organization
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Legal Business Name | EYELOVE EYECARE
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Dates
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Enumeration Date | 04/27/2021
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 3030 MEMORIAL PKWY SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5372
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Country | US
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Telephone | 504-722-9091
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Fax |
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Provider Business Mailing Address
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Address Line | 208 PROPERZI WAY SW
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City | HUNTSVILLE
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State | AL
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Zip | 35824-2945
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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 | OPTOMETRIST/OWNER
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Name | DR. JASMINE SPENCER
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Credential | OD
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Telephone | 504-722-9091
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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 |
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License Number State |
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