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General NPI Number Information
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NPI Number | 1467553040
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Entity Type | Organization
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Legal Business Name | DR. GENE TERREZZA,O.D. & ASSOCIATES,P.A.
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 800 N FAIRFIELD DR
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City | PENSACOLA
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State | FL
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Zip | 32506-4313
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Country | US
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Telephone | 850-456-5059
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Fax | 850-456-0461
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Provider Business Mailing Address
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Address Line | 800 N FAIRFIELD DR
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City | PENSACOLA
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State | FL
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Zip | 32506-4313
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Country | US
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Telephone | 850-456-5059
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Fax | 850-456-0461
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JENNIFER DUKES
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Credential |
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Telephone | 850-434-2060
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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 | OPC1196
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License Number State | FL
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