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General NPI Number Information
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NPI Number | 1184711665
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Entity Type | Individual
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Provider Name | SCOTT MCPHERSON O.D.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4217 S LOOP 289
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City | LUBBOCK
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State | TX
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Zip | 79423-1100
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Country | US
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Telephone | 806-793-3309
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Fax |
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Provider Business Mailing Address
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Address Line | 5402 66TH ST APT.1122
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City | LUBBOCK
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State | TX
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Zip | 79424-1313
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Country | US
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Telephone | 806-283-1536
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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 | 6677T
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License Number State | TX
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