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General NPI Number Information
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NPI Number | 1891879250
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Entity Type | Individual
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Provider Name | DOUGLAS EARL AKRIGHT OD
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3040 VINE ST WALLACE OPTICIANS
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City | LANSING
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State | MI
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Zip | 48912
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Country | US
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Telephone | 517-332-8628
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Fax | 517-332-5504
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Provider Business Mailing Address
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Address Line | 12327 FOREST MEADOWS DR
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City | PERRY
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State | MI
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Zip | 48872-9160
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Country | US
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Telephone | 517-675-5505
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Fax |
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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 | 4901003072
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License Number State | MI
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