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General NPI Number Information
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NPI Number | 1568694529
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Entity Type | Individual
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Provider Name | JAMIE C HO O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/10/2009
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Last Update Date | 09/05/2014
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Provider Practice Location Address
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Address Line | 5300 MARYLAND WAY SUITE 160
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City | BRENTWOOD
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State | TN
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Zip | 37027-5074
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Country | US
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Telephone | 615-604-2949
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Fax |
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Provider Business Mailing Address
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Address Line | 4639 MOUNTAIN VIEW DR
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City | NASHVILLE
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State | TN
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Zip | 37215-4336
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Country | US
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Telephone | 857-413-0998
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Fax |
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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 | 3083
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License Number State | TN
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