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General NPI Number Information
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NPI Number | 1689082380
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Entity Type | Organization
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Legal Business Name | FERENCE & ASSOCIATES, P.C.
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Dates
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Enumeration Date | 07/25/2014
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Last Update Date | 07/25/2014
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Provider Practice Location Address
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Address Line | 1101 MELBOURNE RD SUITE #5060
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City | HURST
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State | TX
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Zip | 76053-6205
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Country | US
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Telephone | 817-590-2022
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Fax | 817-595-0366
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Provider Business Mailing Address
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Address Line | 1101 MELBOURNE RD SUITE #5060
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City | HURST
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State | TX
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Zip | 76053-6205
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Country | US
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Telephone | 817-590-2022
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Fax | 817-595-0366
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. STEPHEN W FERENCE
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Credential | O.D.
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Telephone | 817-590-2022
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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 |
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