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General NPI Number Information
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NPI Number | 1619629599
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Entity Type | Individual
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Provider Name | WHITNEY HALL POWELL OD
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Gender | Female
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Dates
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Enumeration Date | 01/22/2022
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 1150 EAGLETREE LN SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-6446
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Country | US
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Telephone | 256-533-8801
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Fax | 256-533-8803
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Provider Business Mailing Address
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Address Line | 3900 DACOMA ST APT 284
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City | HOUSTON
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State | TX
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Zip | 77092-8760
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Country | US
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Telephone | 205-960-1451
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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 | 10395T
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License Number State | TX
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