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General NPI Number Information
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NPI Number | 1174779730
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Entity Type | Organization
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Legal Business Name | SIGHT 'N STYLE, INC.
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 1403-16 DUNN AVENUE
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City | JACKSONVILLE
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State | FL
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Zip | 32218
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Country | US
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Telephone | 904-757-5222
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Fax | 904-757-5011
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Provider Business Mailing Address
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Address Line | 1403-16 DUNN AVENUE
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City | JACKSONVILLE
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State | FL
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Zip | 32218
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Country | US
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Telephone | 904-757-5222
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Fax | 904-757-5011
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JUDY L. DEITRICK
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Credential | OPTICIAN
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Telephone | 904-757-5222
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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 | 2024
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License Number State | FL
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