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General NPI Number Information
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NPI Number | 1972816023
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Entity Type | Organization
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Legal Business Name | MARY H ESPY OD PC
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Dates
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Enumeration Date | 07/19/2010
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | G3541 MILLER RD
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City | FLINT
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State | MI
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Zip | 48507-1235
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Country | US
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Telephone | 810-732-8610
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Fax | 810-732-6831
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Provider Business Mailing Address
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Address Line | 2325 SWANS CV
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City | FENTON
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State | MI
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Zip | 48430-3006
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Country | US
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Telephone | 810-814-5527
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARY H ESPY
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Credential | OD
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Telephone | 810-814-5527
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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 | 4901003627
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License Number State | MI
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