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General NPI Number Information
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NPI Number | 1538358056
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Entity Type | Organization
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Legal Business Name | STANCIL HANDLEY O.D. PC
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Dates
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Enumeration Date | 10/22/2007
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Last Update Date | 02/25/2010
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Provider Practice Location Address
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Address Line | 112 SOUTH MAIN STREET
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City | COLUMBIANA
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State | AL
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Zip | 35051
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Country | US
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Telephone | 205-669-4131
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Fax | 205-669-4737
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Provider Business Mailing Address
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Address Line | PO BOX 828
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City | COLUMBIANA
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State | AL
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Zip | 35051-0828
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Country | US
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Telephone | 205-669-4131
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Fax | 205-669-4737
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Authorized Official
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Title or Position | OWNER
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Name | PHILLIP STANCIL HANLDLEY
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Credential | O.D.
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Telephone | 205-669-4131
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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 | S432TA044
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License Number State | AL
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