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General NPI Number Information
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NPI Number | 1053597310
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Entity Type | Organization
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Legal Business Name | JAMES E. FOLSOM & THOMAS D. DENNIS DR.S
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 02/24/2012
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Provider Practice Location Address
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Address Line | 1541 E ATLANTIC BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33060-6748
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Country | US
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Telephone | 954-942-1313
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Fax | 954-942-0099
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Provider Business Mailing Address
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Address Line | 1541 E ATLANTIC BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33060-6748
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Country | US
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Telephone | 954-942-1313
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Fax | 954-942-0099
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Authorized Official
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Title or Position | PARTNER
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Name | DR. THOMAS DAVID DENNIS
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Credential | O.D.
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Telephone | 954-942-1313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | OPC813
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License Number State | FL
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