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General NPI Number Information
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NPI Number | 1639289663
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Entity Type | Individual
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Provider Name | VERONICA OLTMANNS O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 09/28/2010
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Provider Practice Location Address
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Address Line | 1201 11TH AVE S SUITE 501
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City | BIRMINGHAM
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State | AL
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Zip | 35205-3410
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Country | US
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Telephone | 205-930-0930
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Fax | 205-930-9050
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Provider Business Mailing Address
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Address Line | 1201 11TH AVE S SUITE 501
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City | BIRMINGHAM
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State | AL
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Zip | 35205-3410
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Country | US
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Telephone | 205-930-0930
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Fax | 205-930-9050
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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 | 0601800197
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | R-191-TA-865
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License Number State | AL
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