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NPI 1780604322

NPI 1780604322 : CHARLES W AKINS M. D. : BRYAN, TX

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General NPI Number Information
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    NPI Number           |    1780604322
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    Entity Type          |    Individual 
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    Provider Name        |    CHARLES W AKINS M. D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/19/2006
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    Last Update Date     |    08/29/2019
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Provider Practice Location Address
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    Address Line         |    3201 UNIVERSITY DR E SUITE 445
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    City                 |    BRYAN
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    State                |    TX
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    Zip                  |    77802-3475
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    Country              |    US
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    Telephone            |    979-774-4040
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    Fax                  |    979-774-7659
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Provider Business Mailing Address
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    Address Line         |    3201 UNIVERSITY DR E SUITE 445
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    City                 |    BRYAN
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    State                |    TX
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    Zip                  |    77802-3475
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    Country              |    US
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    Telephone            |    979-774-4040
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    Fax                  |    979-774-7659
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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        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    D9066
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    2083P0011X
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    Taxonomy Name        |    Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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    License Number       |    D9066
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    License Number State |    TX
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