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General NPI Number Information
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NPI Number | 1003344359
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Entity Type | Individual
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Provider Name | VINCENT MICHAEL FERLITA OD
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Gender | Male
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Dates
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Enumeration Date | 05/31/2017
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Last Update Date | 05/31/2017
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Provider Practice Location Address
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Address Line | 24200 US HIGHWAY 23 S
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-9002
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Country | US
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Telephone | 740-477-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 5404 MONTICELLO HALL DR
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City | COLUMBUS
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State | OH
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Zip | 43221-5670
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Country | US
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Telephone | 352-279-8218
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Fax |
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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 | 6547
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License Number State | OH
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