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General NPI Number Information
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NPI Number | 1750390548
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Entity Type | Organization
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Legal Business Name | OXFORD EYE SURGERY CENTER,L.P
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 2604 S LAMAR BLVD
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City | OXFORD
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State | MS
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Zip | 38655-5243
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Country | US
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Telephone | 662-234-6621
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Fax | 662-234-8703
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Provider Business Mailing Address
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Address Line | 2604 S LAMAR BLVD
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City | OXFORD
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State | MS
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Zip | 38655-5243
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Country | US
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Telephone | 662-234-6621
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Fax | 662-234-8703
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS M TANN III
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Credential | MD
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Telephone | 662-234-6621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number |
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License Number State | MS
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