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General NPI Number Information
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NPI Number | 1902430937
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Entity Type | Organization
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Legal Business Name | DR ELIZABETH M DARBY OPTOMETRIST PLLC
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Dates
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Enumeration Date | 02/28/2020
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Last Update Date | 02/28/2020
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Provider Practice Location Address
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Address Line | 504 EASEL ST
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City | TAYLOR
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State | MS
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Zip | 38673
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Country | US
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Telephone | 662-234-9394
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 25
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City | TAYLOR
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State | MS
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Zip | 38673-0025
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELIZABETH DARBY
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Credential | OD
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Telephone | 662-715-0806
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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 |
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License Number State |
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