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General NPI Number Information
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NPI Number | 1972572998
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Entity Type | Organization
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Legal Business Name | DR. DAVID W. FERRIS AND ASSOCIATES INC
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 03/14/2015
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Provider Practice Location Address
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Address Line | 222 JEFFERSON BLVD
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City | WARWICK
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State | RI
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Zip | 02888-3855
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Country | US
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Telephone | 401-732-2350
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Fax | 401-738-2744
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Provider Business Mailing Address
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Address Line | 222 JEFFERSON BLVD
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City | WARWICK
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State | RI
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Zip | 02888-3855
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Country | US
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Telephone | 401-732-2350
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Fax | 401-738-2744
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN M MONTAQUILA
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Credential | O.D.
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Telephone | 401-732-2350
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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 | ODTG00460
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License Number State | RI
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