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General NPI Number Information
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NPI Number | 1578586459
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Entity Type | Organization
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Legal Business Name | EASTERN MEDICAL EYE CENTER P C
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 09/14/2009
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Provider Practice Location Address
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Address Line | 52 MEDICAL PARK DR E SUITE 211
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City | BIRMINGHAM
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State | AL
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Zip | 35235-3430
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Country | US
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Telephone | 205-838-3696
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Fax |
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Provider Business Mailing Address
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Address Line | 52 MEDICAL PARK EAST DRIVE SUITE 211
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City | BIRMINGHAM
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State | AL
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Zip | 35235
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Country | US
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Telephone | 205-838-3696
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN S MORGAN
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Credential | MD
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Telephone | 205-838-3696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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