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General NPI Number Information
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NPI Number | 1194443143
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Entity Type | Organization
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Legal Business Name | MAY & HETTLER, O.D., PLLC
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Dates
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Enumeration Date | 08/16/2022
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 612 HILLTOP WEST SHOPPING CTR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23451-6139
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Country | US
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Telephone | 757-791-1977
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 208869
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City | DALLAS
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State | TX
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Zip | 75320-8869
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Country | US
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Telephone | 636-200-4393
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Fax |
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Authorized Official
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Title or Position | CMO
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Name | JAMES WACHTER
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Credential |
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Telephone | 636-200-4393
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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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