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General NPI Number Information
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NPI Number | 1194914002
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Entity Type | Organization
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Legal Business Name | CLARK WEEKS PC
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 04/28/2008
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Provider Practice Location Address
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Address Line | 768 UNITED STATES HIGHWAY 43
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City | WINFIELD
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State | AL
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Zip | 35594-1290
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Country | US
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Telephone | 205-487-2860
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Fax | 205-487-3886
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Provider Business Mailing Address
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Address Line | PO BOX 1290
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City | WINFIELD
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State | AL
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Zip | 35594-1290
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Country | US
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Telephone | 205-487-2860
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Fax | 205-487-3886
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MELANY C WEEKS
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Credential |
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Telephone | 205-487-2860
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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 | S-745
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License Number State | AL
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