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General NPI Number Information
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NPI Number | 1205984564
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Entity Type | Individual
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Provider Name | JAMES DARRYL ROSSON OD
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Gender | Male
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 05/28/2010
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Provider Practice Location Address
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Address Line | 603 E HIGHWAY 243
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City | CANTON
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State | TX
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Zip | 75103-2420
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Country | US
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Telephone | 903-567-4686
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Fax | 903-567-4199
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Provider Business Mailing Address
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Address Line | 720 WATER CREST CIR
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City | CANTON
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State | TX
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Zip | 75103-1112
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Country | US
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Telephone | 903-567-4686
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Fax | 903-567-4199
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 03087TG
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License Number State | TX
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