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General NPI Number Information
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NPI Number | 1538204607
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Entity Type | Organization
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Legal Business Name | DAY OPTOMETRY CLINIC PC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 137 W SHUGART RIDGE ROAD
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City | GARDENDALE
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State | AL
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Zip | 35071-0947
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Country | US
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Telephone | 205-631-5681
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Fax | 205-631-2479
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Provider Business Mailing Address
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Address Line | PO BOX 947
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City | GARDENDALE
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State | AL
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Zip | 35071-0947
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Country | US
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Telephone | 205-631-5681
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Fax | 205-631-2479
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ASHLEY POTTS
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Credential |
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Telephone | 205-631-5681
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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 | S657
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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 | S658
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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