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General NPI Number Information
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NPI Number | 1487978813
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Entity Type | Individual
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Provider Name | SARAH MARTIN SMALL O.D.
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Gender | Female
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Dates
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Enumeration Date | 03/13/2010
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Last Update Date | 08/08/2024
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Provider Practice Location Address
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Address Line | 831 HILLCREST RD STE C
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City | MOBILE
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State | AL
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Zip | 36695-4075
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Country | US
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Telephone | 251-633-4949
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Fax | 251-341-2903
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Provider Business Mailing Address
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Address Line | 1700 SPRING HILL AVE STE 100
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City | MOBILE
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State | AL
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Zip | 36604-1416
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Country | US
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Telephone | 251-633-4949
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Fax | 251-341-2903
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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 | 815
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License Number State | MS
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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 | S-C47-TA-857
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2917
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License Number State | TN
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