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General NPI Number Information
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NPI Number | 1306927181
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Entity Type | Individual
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Provider Name | KEVIN JAY CHILDERS OD
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Gender | Male
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 2202 W RANDOLPH ST
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City | VANDALIA
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State | IL
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Zip | 62471-1946
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Country | US
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Telephone | 618-283-3511
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Fax | 618-283-1815
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Provider Business Mailing Address
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Address Line | PO BOX 320
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City | VANDALIA
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State | IL
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Zip | 62471-0320
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Country | US
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Telephone | 618-283-3511
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Fax | 618-283-1815
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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 | 046-007658
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License Number State | IL
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