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General NPI Number Information
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NPI Number | 1942347356
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Entity Type | Organization
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Legal Business Name | DESIGNER OPTICAL OF NASHVILLE EYE ASSOCIATES, LLC
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | 397 WALLACE RD C-312
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City | NASHVILLE
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State | TN
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Zip | 37211-4854
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Country | US
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Telephone | 615-834-8380
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Fax | 615-834-5242
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Provider Business Mailing Address
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Address Line | 397 WALLACE RD C-312
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City | NASHVILLE
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State | TN
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Zip | 37211-4854
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Country | US
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Telephone | 615-834-8380
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Fax | 615-834-5242
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Authorized Official
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Title or Position | OWNER
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Name | DR. DARRELL JAMES WILLIAMS
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Credential | M.D.
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Telephone | 615-834-8380
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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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