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General NPI Number Information
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NPI Number | 1679505507
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Entity Type | Individual
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Provider Name | JASON H MCCLOUD O.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 02/26/2009
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Provider Practice Location Address
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Address Line | 107 E MAIN ST
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City | GRAYSON
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State | KY
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Zip | 41143-1301
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Country | US
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Telephone | 606-474-5149
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Fax | 606-474-0648
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Provider Business Mailing Address
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Address Line | 107 E MAIN ST
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City | GRAYSON
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State | KY
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Zip | 41143-1301
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Country | US
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Telephone | 606-474-5149
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Fax | 606-474-0648
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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 | 1585DT
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License Number State | KY
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