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General NPI Number Information
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NPI Number | 1588844377
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Entity Type | Organization
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Legal Business Name | TERRY L BONDS,OD,PC
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Dates
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Enumeration Date | 11/08/2007
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Last Update Date | 03/11/2008
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Provider Practice Location Address
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Address Line | 601 PELHAM RD S
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City | JACKSONVILLE
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State | AL
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Zip | 36265-2731
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Country | US
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Telephone | 256-435-9453
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Fax | 256-435-9485
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Provider Business Mailing Address
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Address Line | 601 PELHAM RD S
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City | JACKSONVILLE
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State | AL
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Zip | 36265-2731
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Country | US
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Telephone | 256-743-5945
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Fax | 256-435-9485
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. TERRY L BONDS
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Credential | OD
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Telephone | 256-435-9453
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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 | S491TA015
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License Number State | AL
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