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General NPI Number Information
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NPI Number | 1669669156
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Entity Type | Organization
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Legal Business Name | HEATHER M. DOWDY, O.D.
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 03/10/2015
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Provider Practice Location Address
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Address Line | 6811 SOUTHCREST PKWY
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City | SOUTHAVEN
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State | MS
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Zip | 38671-9538
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Country | US
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Telephone | 662-349-1920
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Fax | 662-349-1995
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Provider Business Mailing Address
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Address Line | 6811 SOUTHCREST PKWY
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City | SOUTHAVEN
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State | MS
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Zip | 38671-9538
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Country | US
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Telephone | 662-349-1920
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Fax | 662-349-1995
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. HEATHER M. DOWDY
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Credential | O.D.
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Telephone | 662-349-1920
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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 | 694
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License Number State | MS
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