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General NPI Number Information
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NPI Number | 1982852760
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Entity Type | Organization
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Legal Business Name | WILLIAM DROST ALTIG, O.D., P.C.
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Dates
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Enumeration Date | 09/04/2008
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Last Update Date | 08/03/2018
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Provider Practice Location Address
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Address Line | 3451 WESTERN CENTER BLVD
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City | FORT WORTH
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State | TX
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Zip | 76137
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Country | US
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Telephone | 817-847-0030
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Fax | 817-847-1478
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Provider Business Mailing Address
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Address Line | 3451 WESTERN CENTER BOULEVARD
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City | FORT WORTH
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State | TX
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Zip | 76137-1937
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Country | US
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Telephone | 817-847-0030
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Fax | 817-847-1478
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM DROST ALTIG
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Credential | OD
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Telephone | 817-847-0030
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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 | 3438TG
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License Number State | TX
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