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General NPI Number Information
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NPI Number | 1376509943
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Entity Type | Individual
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Provider Name | JAMES DAVID FROST O.D.
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Gender | Male
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Dates
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Enumeration Date | 04/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1450 N BRINDLEE MOUNTAIN PKWY
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City | ARAB
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State | AL
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Zip | 35016-5431
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Country | US
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Telephone | 256-586-9119
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Fax | 256-586-9121
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Provider Business Mailing Address
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Address Line | 2007 WEDGEWOOD DR NE
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City | ARAB
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State | AL
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Zip | 35016-5349
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Country | US
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Telephone | 256-586-3030
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Fax | 256-586-9121
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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 | S430TA037
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License Number State | AL
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