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General NPI Number Information
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NPI Number | 1760559488
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Entity Type | Organization
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Legal Business Name | INVERNESS EYE CARE
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 05/16/2018
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Provider Practice Location Address
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Address Line | 252 INVERNESS CENTER DRIVE
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City | BIRMINGHAM
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State | AL
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Zip | 35242-7285
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Country | US
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Telephone | 205-991-0020
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Fax | 205-991-3177
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Provider Business Mailing Address
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Address Line | 252 INVERNESS CENTER DRIVE
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City | BIRMINGHAM
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State | AL
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Zip | 35242-7285
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Country | US
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Telephone | 205-991-0020
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Fax | 205-991-3177
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SARAH C GORDON
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Credential | OD
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Telephone | 205-991-0020
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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 | S-573-TA-040
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License Number State | AL
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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 |
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License Number State |
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