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General NPI Number Information
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NPI Number | 1639286966
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Entity Type | Individual
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Provider Name | LORNA LIM FERGUSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 601 OMEGA DR SUITE 205
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City | ARLINGTON
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State | TX
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Zip | 76014-2075
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Country | US
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Telephone | 817-557-6227
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Fax | 817-557-6247
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Provider Business Mailing Address
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Address Line | 4013 WILDBRIAR LN
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City | MANSFIELD
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State | TX
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Zip | 76063-6759
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Country | US
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Telephone | 682-518-7827
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Fax | 682-518-7827
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L6040
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License Number State | TX
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