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General NPI Number Information
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NPI Number | 1972536175
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Entity Type | Individual
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Provider Name | JEFFREY L MORER OD
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Gender | Male
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 05/10/2011
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Provider Practice Location Address
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Address Line | 6338 LANTANA RD STE 57
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City | LAKE WORTH
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State | FL
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Zip | 33463-6652
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Country | US
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Telephone | 561-969-9995
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Fax | 561-892-0920
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Provider Business Mailing Address
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Address Line | 6338 LANTANA RD STE 57
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City | LAKE WORTH
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State | FL
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Zip | 33463-6652
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Country | US
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Telephone | 561-969-9995
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Fax | 561-892-0920
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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 | 3449
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License Number State | MA
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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 | 6683T
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2666-035
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC2300
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License Number State | FL
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