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General NPI Number Information
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NPI Number | 1679666176
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Entity Type | Individual
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Provider Name | JAMES DENIS MENARD O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 12701 PADGETT SWITCH RD
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City | IRVINGTON
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State | AL
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Zip | 36544-4011
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Country | US
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Telephone | 251-824-2174
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Fax |
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Provider Business Mailing Address
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Address Line | 6500 AUDUBON SQ N
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City | MOBILE
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State | AL
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Zip | 36695-6231
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Country | US
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Telephone | 693-486-4926
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0731
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License Number State | NH
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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-276-TA-B68
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License Number State | AL
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