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NPI 1720430200

NPI 1720430200 : WILLIAM FIELDER O.D. : STUTTGART, AR

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General NPI Number Information
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    NPI Number           |    1720430200
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    Entity Type          |    Individual 
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    Provider Name        |    WILLIAM FIELDER O.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/07/2016
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    Last Update Date     |    11/13/2025
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Provider Practice Location Address
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    Address Line         |    713 S MAIN ST 
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    City                 |    STUTTGART
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    State                |    AR
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    Zip                  |    72160-4805
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    Country              |    US
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    Telephone            |    870-673-8529
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    Fax                  |    870-673-2931
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Provider Business Mailing Address
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    Address Line         |    713 S MAIN ST 
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    City                 |    STUTTGART
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    State                |    AR
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    Zip                  |    72160-4805
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    Country              |    US
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    Telephone            |    870-673-8529
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    Fax                  |    870-673-2931
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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       |    2747
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    License Number State |    AR
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