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General NPI Number Information
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NPI Number | 1265817902
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Entity Type | Individual
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Provider Name | AMIE MARSH O. D.
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Gender | Female
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Dates
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Enumeration Date | 07/23/2015
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 1029 CHRISTINE AVE
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City | ANNISTON
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State | AL
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Zip | 36207-5709
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Country | US
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Telephone | 256-237-0371
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Fax | 256-236-4181
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Provider Business Mailing Address
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Address Line | 700 18TH ST S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1856
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Country | US
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Telephone | 918-444-4000
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Fax |
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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 | 2860
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | R-250-TA-A63
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License Number State | AL
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