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General NPI Number Information
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NPI Number | 1649525015
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Entity Type | Individual
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Provider Name | KARAH HILL HIATT O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/20/2012
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 102 N 38TH AVE STE I
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City | HATTIESBURG
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State | MS
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Zip | 39401-6700
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Country | US
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Telephone | 601-264-6688
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Fax | 601-264-3393
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Provider Business Mailing Address
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Address Line | 9 YAUPON PT
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City | PETAL
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State | MS
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Zip | 39465-9447
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Country | US
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Telephone | 601-485-2020
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Fax | 601-264-3393
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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 | 848
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License Number State | MS
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