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General NPI Number Information
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NPI Number | 1225492242
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Entity Type | Organization
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Legal Business Name | KYRA L. FERRIGAN, O.D. PA
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Dates
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Enumeration Date | 04/06/2016
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Last Update Date | 04/06/2016
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Provider Practice Location Address
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Address Line | 1900 SE 34TH AVE UNIT 250
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City | AMARILLO
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State | TX
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Zip | 79118-7782
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Country | US
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Telephone | 806-331-6150
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Fax |
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Provider Business Mailing Address
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Address Line | 11000 CCC LOOP
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City | CANYON
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State | TX
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Zip | 79015-5619
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Country | US
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Telephone | 806-382-3961
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KYRA LIJA FERRIGAN
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Credential | O.D.
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Telephone | 806-382-3961
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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 | 5328TG
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License Number State | TX
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