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General NPI Number Information
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NPI Number | 1801918552
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Entity Type | Individual
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Provider Name | RANDY CHAD MAY O.D.
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Gender | Male
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 01/07/2011
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Provider Practice Location Address
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Address Line | 3186 HIGHWAY 171 N
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City | FAYETTE
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State | AL
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Zip | 35555-6172
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Country | US
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Telephone | 205-932-2841
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Fax | 205-932-2852
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Provider Business Mailing Address
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Address Line | PO BOX 684
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City | WINFIELD
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State | AL
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Zip | 35594-0684
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Country | US
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Telephone | 205-932-2841
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Fax | 205-932-2852
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT001796
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License Number State | GA
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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 | S-925-TA-502
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License Number State | AL
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