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General NPI Number Information
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NPI Number | 1881289817
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Entity Type | Organization
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Legal Business Name | JOHN S. FERRIS M.D. P.A.
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 1604 LANCASTER DR
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City | GRAPEVINE
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State | TX
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Zip | 76051-3544
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Country | US
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Telephone | 817-481-8661
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Fax | 817-416-8801
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Provider Business Mailing Address
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Address Line | 1604 LANCASTER DR
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City | GRAPEVINE
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State | TX
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Zip | 76051-3544
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Country | US
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Telephone | 817-481-8661
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Fax | 817-416-8801
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN STEVEN FERRIS
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Credential | MD
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Telephone | 817-481-8661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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