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General NPI Number Information
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NPI Number | 1710061643
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Entity Type | Individual
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Provider Name | JAMES ERWIN RUX O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 04/27/2018
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Provider Practice Location Address
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Address Line | 301 FISHER ST STE GE211
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City | KEESLER AFB
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State | MS
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Zip | 39534-2508
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Country | US
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Telephone | 228-376-5735
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Fax |
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Provider Business Mailing Address
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Address Line | 301 FISHER ST STE GE211
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City | KEESLER AFB
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State | MS
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Zip | 39534-2508
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Country | US
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Telephone | 228-376-5700
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Fax | 228-376-0068
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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 | 664-94236
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License Number State | MS
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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 | 2583-035
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1075 - 250T
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License Number State | LA
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