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General NPI Number Information
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NPI Number | 1770097883
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Entity Type | Organization
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Legal Business Name | KEEPING FOCUS LLC.
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Dates
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Enumeration Date | 11/28/2017
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Last Update Date | 03/21/2018
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Provider Practice Location Address
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Address Line | 4223 I-20 FRONTAGE RD APT J18
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City | VICKSBURG
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State | MS
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Zip | 39183-3533
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Country | US
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Telephone | 601-272-5905
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Fax | 800-948-4615
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Provider Business Mailing Address
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Address Line | PO BOX 822622
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City | VICKSBURG
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State | MS
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Zip | 39182-2622
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Country | US
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Telephone | 601-272-5905
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | KEMILY ALEXANDER RANKIN
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Credential |
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Telephone | 601-272-5902
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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 |
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License Number State |
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