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General NPI Number Information
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NPI Number | 1215166152
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Entity Type | Individual
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Provider Name | MEGAN MORRIS EVANS O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/14/2009
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Last Update Date | 01/29/2014
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Provider Practice Location Address
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Address Line | 22097 MEDICAL VILLAGE DRIVE
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City | ATHENS
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State | AL
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Zip | 35613
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Country | US
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Telephone | 256-232-8240
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Fax | 256-232-9427
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Provider Business Mailing Address
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Address Line | 22097 MEDICAL VILLAGE DRIVE
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City | ATHENS
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State | AL
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Zip | 35613-2904
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Country | US
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Telephone | 256-232-8240
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Fax | 256-232-9427
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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 | SC22TA819
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License Number State | AL
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