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General NPI Number Information
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NPI Number | 1689467276
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Entity Type | Individual
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Provider Name | HEATHER NICOLE MCKNEELY OD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 1 HARBOUR WAY
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City | MILTON
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State | WV
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Zip | 25541-1545
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Country | US
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Telephone | 304-781-5050
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1680
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City | HUNTINGTON
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State | WV
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Zip | 25717-1680
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Country | US
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Telephone | 304-781-5050
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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 | 3055-IOD
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License Number State | WV
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