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General NPI Number Information
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NPI Number | 1245586890
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Entity Type | Organization
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Legal Business Name | BIG EYE DEALS,LLC
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 08/01/2012
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Provider Practice Location Address
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Address Line | 2850 PELHAM PKWY SUITE F
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City | PELHAM
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State | AL
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Zip | 35124-1752
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Country | US
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Telephone | 205-358-7799
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Fax | 205-358-7803
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Provider Business Mailing Address
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Address Line | 2850 PELHAM PKWY SUITE F
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City | PELHAM
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State | AL
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Zip | 35124-1752
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Country | US
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Telephone | 205-358-7799
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Fax | 205-358-7803
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Authorized Official
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Title or Position | COO
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Name | MR. WILLIAM MCMULLAN
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Credential |
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Telephone | 205-358-7799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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