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General NPI Number Information
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NPI Number | 1932328994
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Entity Type | Individual
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Provider Name | JULIE A HART O.D.
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Gender | Female
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 09/06/2012
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Provider Practice Location Address
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Address Line | 808 N KENTUCKY AVE
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City | WEST PLAINS
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State | MO
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Zip | 65775-2023
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Country | US
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Telephone | 417-255-2010
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Fax | 417-255-2027
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Provider Business Mailing Address
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Address Line | 808 N KENTUCKY AVE
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City | WEST PLAINS
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State | MO
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Zip | 65775-2023
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Country | US
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Telephone | 417-255-2010
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Fax | 417-255-2027
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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 | 18003409B
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2006018277
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License Number State | MO
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