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General NPI Number Information
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NPI Number | 1831120492
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Entity Type | Individual
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Provider Name | IRENE H LUDWIG MD
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Gender | Female
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 28 WHITE BRIDGE PIKE STE 208
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City | NASHVILLE
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State | TN
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Zip | 37205-1467
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Country | US
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Telephone | 615-327-2001
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Fax | 615-234-2015
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Provider Business Mailing Address
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Address Line | 2800 ROSS CLARK CIRCLE
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City | DOTHAN
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State | AL
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Zip | 36301
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Country | US
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Telephone | 334-793-2211
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Fax | 334-793-7161
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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 | 00016158
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207WX0110X
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Taxonomy Name | Pediatric Ophthalmology and Strabismus Specialist Physician Physician
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License Number | 00016158
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License Number State | AL
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