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General NPI Number Information
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NPI Number | 1053581314
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Entity Type | Organization
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Legal Business Name | E. RUSSELL DRESSEN, JR. OD
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Dates
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Enumeration Date | 03/03/2008
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 942 HICKORY ST
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City | ABILENE
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State | TX
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Zip | 79601-4104
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Country | US
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Telephone | 325-677-6331
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2994
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City | ABILENE
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State | TX
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Zip | 79604-2994
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Country | US
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Telephone | 325-677-6331
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Fax | 325-677-3112
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Authorized Official
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Title or Position | OWNER
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Name | DR. E. RUSSELL DRESSEN JR.
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Credential | OD
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Telephone | 325-677-6331
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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 | 2170TG
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License Number State | TX
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