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General NPI Number Information
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NPI Number | 1326404401
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Entity Type | Organization
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Legal Business Name | MS EYE PLLC
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 01/07/2016
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Provider Practice Location Address
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Address Line | 1413 W MAIN ST
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City | TUPELO
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State | MS
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Zip | 38801-3400
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Country | US
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Telephone | 601-672-4228
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2909
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City | OXFORD
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State | MS
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Zip | 38655-2925
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PART OWNER/ PHYSICIAN
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Name | JAMES B SHIPP
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Credential | M.D.
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Telephone | 601-672-4228
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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 | 824
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 20923
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License Number State | MS
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