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General NPI Number Information
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NPI Number | 1508943713
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Entity Type | Individual
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Provider Name | LEAH J. MCFERREN O.D.
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 04/27/2010
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Provider Practice Location Address
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Address Line | 1704 VIRGINIA AVE
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City | COLLEGE PARK
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State | GA
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Zip | 30337-2014
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Country | US
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Telephone | 404-768-3800
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Fax | 404-768-9104
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Provider Business Mailing Address
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Address Line | 1704 VIRGINIA AVE
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City | COLLEGE PARK
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State | GA
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Zip | 30337-2014
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Country | US
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Telephone | 404-768-3800
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Fax | 404-768-9104
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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 | OPT01216
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License Number State | GA
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