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General NPI Number Information
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NPI Number | 1417204801
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Entity Type | Individual
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Provider Name | JARED CHRISTOPHER COX O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/06/2012
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 895 CANTON RD NE BLDG 100
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City | MARIETTA
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State | GA
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Zip | 30060-8935
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Country | US
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Telephone | 770-427-8111
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Fax | 770-499-1643
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Provider Business Mailing Address
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Address Line | 14201 DALLAS PKWY
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City | DALLAS
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State | TX
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Zip | 75254-2916
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Country | US
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Telephone | 469-893-2000
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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 | OPT003703
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License Number State | GA
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