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General NPI Number Information
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NPI Number | 1407056161
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Entity Type | Organization
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Legal Business Name | WARBURTON FREY & ASSOCIATES P A
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Dates
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Enumeration Date | 07/20/2007
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 2144 W INDIANTOWN RD
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City | JUPITER
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State | FL
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Zip | 33458-5810
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Country | US
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Telephone | 561-351-5445
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Fax |
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Provider Business Mailing Address
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Address Line | 210 NW PLEASANT GROVE WAY
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-3584
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Country | US
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Telephone | 561-351-5445
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. BRANDI MARIE WARBURTON
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Credential | OD
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Telephone | 561-351-5445
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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 | FL
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