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General NPI Number Information
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NPI Number | 1811664147
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Entity Type | Individual
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Provider Name | LAUREN COLEMAN FERRELL OD
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Gender | Female
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Dates
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Enumeration Date | 08/25/2021
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 3201 GAINES RD
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City | CORINTH
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State | MS
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Zip | 38834-8422
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Country | US
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Telephone | 662-286-8860
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Fax | 662-286-3079
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Provider Business Mailing Address
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Address Line | 3906 WORSHAM DR
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City | CORINTH
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State | MS
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Zip | 38834-8674
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Country | US
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Telephone | 662-603-3880
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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 | 1037
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License Number State | MS
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