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General NPI Number Information
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NPI Number | 1447491998
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Entity Type | Individual
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Provider Name | DEBORAH KELLER BLANSETT O.D.
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Gender | Female
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Dates
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Enumeration Date | 03/13/2009
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1030 FAIRFAX PARK
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City | TUSCALOOSA
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State | AL
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Zip | 35406-2806
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Country | US
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Telephone | 205-325-8620
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Fax | 205-325-8547
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Provider Business Mailing Address
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Address Line | 1720 UNIVERSITY BLVD STE 305
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1816
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Country | US
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Telephone | 205-325-8620
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Fax | 205-325-8547
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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 | S872TA405
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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 | 6359T
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License Number State | TX
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