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General NPI Number Information
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NPI Number | 1407359607
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Entity Type | Organization
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Legal Business Name | ALABAMA FAMILY OPTOMETRY ONE HOUR OPTICAL
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Dates
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Enumeration Date | 03/14/2018
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Last Update Date | 03/14/2018
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Provider Practice Location Address
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Address Line | 1900 GOLDEN SPRINGS ROAD
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City | ANNISTON
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State | AL
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Zip | 36207
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Country | US
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Telephone | 256-272-4020
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Fax | 256-417-4039
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Provider Business Mailing Address
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Address Line | 1900 GOLDEN SPRINGS ROAD
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City | ANNISTON
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State | AL
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Zip | 36207
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Country | US
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Telephone | 256-272-4020
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Fax | 256-417-4039
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Authorized Official
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Title or Position | EMPLOYEE
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Name | MAURICE DANIELE VALENTINI
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Credential | OD
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Telephone | 256-324-9101
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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 | R-172-TA-809
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License Number State | AL
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