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General NPI Number Information
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NPI Number | 1720277619
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Entity Type | Individual
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Provider Name | DAVID C WARD OD
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Gender | Male
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 07/09/2022
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Provider Practice Location Address
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Address Line | 800 KEMPER COMMONS CIR
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City | SPRINGDALE
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State | OH
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Zip | 45246-2544
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Country | US
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Telephone | 859-628-8843
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6111
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City | FLORENCE
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State | KY
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Zip | 41022-6111
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Country | US
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Telephone | 859-628-8843
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Fax |
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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 | OH4899
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | KY1633DT
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License Number State | KY
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