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General NPI Number Information
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NPI Number | 1942199815
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Entity Type | Organization
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Legal Business Name | ACCESS VISION MOBILE EYE CLINIC
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Dates
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Enumeration Date | 07/02/2025
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 4450 W ASHBY RD
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City | BRIERFIELD
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State | AL
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Zip | 35035-3314
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Country | US
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Telephone | 205-641-7691
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Fax |
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Provider Business Mailing Address
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Address Line | 4450 W ASHBY RD
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City | BRIERFIELD
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State | AL
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Zip | 35035-3314
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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 | ADMINISTRATOR
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Name | GREG HULSEY
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Credential |
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Telephone | 205-746-7352
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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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