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General NPI Number Information
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NPI Number | 1831372515
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Entity Type | Organization
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Legal Business Name | DR. MICHAEL D. WARE & ASSOCIATES, P.C.
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Dates
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Enumeration Date | 12/17/2007
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 402 DOCTORS DR
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City | NEW ALBANY
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State | MS
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Zip | 38652-3109
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Country | US
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Telephone | 662-539-7771
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Fax | 662-539-7256
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Provider Business Mailing Address
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Address Line | 402 DOCTORS DR
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City | NEW ALBANY
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State | MS
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Zip | 38652-3109
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Country | US
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Telephone | 662-539-7771
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Fax | 662-539-7256
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. MICHAEL DAVID WARE
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Credential | O.D.
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Telephone | 662-397-4766
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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 | MS626
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License Number State | MS
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