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General NPI Number Information
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NPI Number | 1225268758
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Entity Type | Organization
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Legal Business Name | JAMES D. HEMMIG, O.D., P.A.
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Dates
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Enumeration Date | 07/17/2009
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Last Update Date | 07/17/2009
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Provider Practice Location Address
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Address Line | 4400 E HIGHWAY 20 STE 112
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City | NICEVILLE
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State | FL
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Zip | 32578-9735
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Country | US
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Telephone | 850-897-2020
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Fax | 850-897-1064
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Provider Business Mailing Address
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Address Line | 4400 E HIGHWAY 20 STE 112
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City | NICEVILLE
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State | FL
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Zip | 32578-9735
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Country | US
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Telephone | 850-897-2020
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Fax | 850-897-1064
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES DOUGLAS HEMMIG
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Credential | O.D., P.A.
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Telephone | 850-897-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | OPC1840
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License Number State | FL
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