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General NPI Number Information
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NPI Number | 1356312045
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Entity Type | Individual
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Provider Name | RICA P MCROY OD
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Gender | Female
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 4030 BALMORAL DR SW STE A
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City | HUNTSVILLE
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State | AL
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Zip | 35801
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Country | US
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Telephone | 256-801-0099
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Fax | 256-533-1369
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Provider Business Mailing Address
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Address Line | 4030 BALMORAL DR SW STE A
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City | HUNTSVILLE
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State | AL
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Zip | 35801-6402
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Country | US
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Telephone | 256-801-0099
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Fax | 256-533-1369
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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 | S-847-TA-353
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License Number State | AL
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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 | S847TA353
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License Number State | AL
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