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General NPI Number Information
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NPI Number | 1356143085
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Entity Type | Individual
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Provider Name | COURTNEY COUCH OD
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Gender | Female
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 613 23RD ST STE 350
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City | ASHLAND
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State | KY
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Zip | 41101-2879
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Country | US
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Telephone | 606-408-4600
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Fax | 606-408-4605
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Provider Business Mailing Address
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Address Line | PO BOX 320
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City | HAPPY
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State | KY
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Zip | 41746-0320
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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 |
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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 | 2433DT
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License Number State | KY
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