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General NPI Number Information
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NPI Number | 1659927788
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Entity Type | Individual
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Provider Name | TYLER PHARR HAMBY DOCTOR OF OPTOMETRY
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Gender | Male
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 4389 BEAUFORT ROAD
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City | CHERRY POINT
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State | NC
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Zip | 28533
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Country | US
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Telephone | 205-516-7475
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Fax |
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Provider Business Mailing Address
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Address Line | 2910 JUDGE MANLY DR
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City | NEW BERN
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State | NC
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Zip | 28562-9163
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Country | US
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Telephone | 205-516-7475
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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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 | 0618002751
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License Number State | VA
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