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General NPI Number Information
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NPI Number | 1811154750
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Entity Type | Organization
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Legal Business Name | DEBRA L. WARE, O.D., P.C.
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 2000 N MAYS ST SUITE 130
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City | ROUND ROCK
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State | TX
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Zip | 78664-2166
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Country | US
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Telephone | 512-238-6889
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Fax | 512-238-7648
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Provider Business Mailing Address
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Address Line | 2000 N MAYS ST SUITE 130
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City | ROUND ROCK
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State | TX
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Zip | 78664-2166
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Country | US
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Telephone | 512-238-6889
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Fax | 512-238-7648
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Authorized Official
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Title or Position | OWNER
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Name | DR. DEBRA L WARE
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Credential |
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Telephone | 512-238-6889
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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 | 5604TG
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License Number State | TX
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