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General NPI Number Information
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NPI Number | 1942634621
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Entity Type | Organization
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Legal Business Name | IN FOCUS INC,
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 08/29/2013
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Provider Practice Location Address
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Address Line | 6125 UNIVERSITY DR NW SUITE D-10
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City | HUNTSVILLE
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State | AL
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Zip | 35806-1757
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Country | US
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Telephone | 256-971-9700
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Fax | 256-971-9710
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Provider Business Mailing Address
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Address Line | 6125 UNIVERSITY DR NW SUITE D-10
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City | HUNTSVILLE
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State | AL
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Zip | 35806-1757
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Country | US
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Telephone | 256-971-9700
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Fax | 256-971-9710
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Authorized Official
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Title or Position | PRESIDENT
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Name | GREGORY W CLARDY
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Credential | O.D.
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Telephone | 256-971-9700
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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 | S835-TA-385
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License Number State | TN
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