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General NPI Number Information
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NPI Number | 1174700876
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Entity Type | Organization
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Legal Business Name | RENEE ABRASSART RAMSEY
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 11/24/2008
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Provider Practice Location Address
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Address Line | 102 S 2ND ST
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City | PETERSBURG
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State | IN
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Zip | 47567
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Country | US
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Telephone | 812-354-3331
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Fax | 812-354-3331
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Provider Business Mailing Address
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Address Line | PO BOX 205
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City | PETERSBURG
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State | IN
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Zip | 47567-0205
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Country | US
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Telephone | 812-354-3331
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Fax | 812-354-3331
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Authorized Official
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Title or Position | OD OWNER
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Name | RENEE ABRASSART RAMSEY
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Credential | OD
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Telephone | 812-354-3331
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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 |
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License Number State |
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