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General NPI Number Information
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NPI Number | 1922992023
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Entity Type | Organization
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Legal Business Name | A&D OPTICAL
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 10 VISION LN
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City | NATCHEZ
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State | MS
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Zip | 39120-4607
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Country | US
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Telephone | 601-445-5884
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Fax | 601-446-7732
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Provider Business Mailing Address
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Address Line | 10 VISION LN
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City | NATCHEZ
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State | MS
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Zip | 39120-4607
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Country | US
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Telephone | 601-445-5884
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Fax | 601-446-7732
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Authorized Official
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Title or Position | OWNER
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Name | AARON J SMITH
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Credential | MD
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Telephone | 601-445-5884
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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