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NPI 1609842459

NPI 1609842459 : AMY H. HERRINGTON O.D. : VESTAVIA, AL

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General NPI Number Information
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    NPI Number           |    1609842459
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    Entity Type          |    Individual 
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    Provider Name        |    AMY H. HERRINGTON O.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/23/2006
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    2409 ACTON RD STE 161 
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    City                 |    VESTAVIA
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    State                |    AL
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    Zip                  |    35243-2939
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    Country              |    US
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    Telephone            |    205-202-9607
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    Fax                  |    205-337-0843
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Provider Business Mailing Address
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    Address Line         |    2409 ACTON RD STE 161 
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    City                 |    VESTAVIA
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    State                |    AL
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    Zip                  |    35243-2939
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    Country              |    US
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    Telephone            |    205-202-9607
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    Fax                  |    205-337-0843
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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       |    S-682-TA-193
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    License Number State |    AL
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