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General NPI Number Information
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NPI Number | 1376545442
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Entity Type | Individual
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Provider Name | KIRK A HEARNE O.D.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2005
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 130 N STATE ST
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City | NORTH VERNON
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State | IN
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Zip | 47265-1724
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Country | US
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Telephone | 812-346-4646
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Fax | 812-352-6262
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Provider Business Mailing Address
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Address Line | 865 W COUNTY ROAD 60 S
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City | NORTH VERNON
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State | IN
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Zip | 47265-4832
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Country | US
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Telephone | 812-346-5556
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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 | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | 18002748B
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License Number State | IN
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