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General NPI Number Information
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NPI Number | 1144414467
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Entity Type | Organization
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Legal Business Name | BAILEY COVE EYE CARE, P.C.
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Dates
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Enumeration Date | 08/29/2007
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Last Update Date | 09/13/2011
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Provider Practice Location Address
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Address Line | 1411 WEATHERLY PLZ
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City | HUNTSVILLE
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State | AL
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Zip | 35803-2617
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Country | US
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Telephone | 256-880-3200
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Fax | 256-880-1396
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Provider Business Mailing Address
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Address Line | 1411 WEATHERLY PLZ
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City | HUNTSVILLE
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State | AL
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Zip | 35803-2617
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Country | US
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Telephone | 256-880-3200
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Fax | 256-880-1396
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. JAMES ASHLEY FERRELL
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Credential | O.D.
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Telephone | 256-880-3200
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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 | S984TA557
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License Number State | AL
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