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NPI 1851301188

NPI 1851301188 : JOHN A. ESSINGER II, O.D. P.C. : BIRMINGHAM, AL

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General NPI Number Information
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    NPI Number           |    1851301188
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOHN A. ESSINGER II, O.D. P.C. 
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Dates
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    Enumeration Date     |    08/09/2006
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    Last Update Date     |    03/12/2013
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Provider Practice Location Address
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    Address Line         |    1806 SOUTHWOOD RD 
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    City                 |    BIRMINGHAM
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    State                |    AL
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    Zip                  |    35216-1416
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    Country              |    US
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    Telephone            |    205-567-8606
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    Fax                  |    205-822-8606
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Provider Business Mailing Address
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    Address Line         |    PO BOX 660158 
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    City                 |    BIRMINGHAM
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    State                |    AL
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    Zip                  |    35266-0158
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    Country              |    US
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    Telephone            |    205-567-8606
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    Fax                  |    205-822-8606
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. JOHN A ESSINGER 
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    Credential           |    O.D.
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    Telephone            |    205-567-8606
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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       |    S77OTA218
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    License Number State |    AL
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