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General NPI Number Information
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NPI Number | 1568679827
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Entity Type | Organization
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Legal Business Name | CFV, INC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15218B CROSSROADS PKWY
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City | GULFPORT
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State | MS
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Zip | 39503-3564
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Country | US
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Telephone | 228-831-5595
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Fax | 228-831-5540
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Provider Business Mailing Address
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Address Line | 15218B CROSSROADS PKWY
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City | GULFPORT
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State | MS
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Zip | 39503-3564
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Country | US
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Telephone | 228-831-5595
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM FRANKLIN BARKER
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Credential | O.D.
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Telephone | 228-831-5595
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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 | 434
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License Number State | MS
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