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General NPI Number Information
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NPI Number | 1770901654
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Entity Type | Organization
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Legal Business Name | EYE CARE ASSOCIATES
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Dates
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Enumeration Date | 03/28/2014
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 2005 W MAIN ST SUITE 102
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City | TUPELO
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State | MS
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Zip | 38801-3214
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Country | US
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Telephone | 662-205-4654
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Fax | 662-205-4669
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Provider Business Mailing Address
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Address Line | 2005 W MAIN ST SUITE 102
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City | TUPELO
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State | MS
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Zip | 38801-3214
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Country | US
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Telephone | 662-205-4654
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Fax | 662-205-4669
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Authorized Official
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Title or Position | OPTOMOTRIST
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Name | DR. JOSHUA M HATFIELD
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Credential |
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Telephone | 662-205-4654
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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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