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General NPI Number Information
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NPI Number | 1225209059
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Entity Type | Organization
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Legal Business Name | DORESH INC.
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 04/07/2009
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Provider Practice Location Address
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Address Line | 1812 MARSH RD SUITE 427
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City | WILMINGTON
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State | DE
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Zip | 19810-4581
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Country | US
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Telephone | 302-475-5562
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Fax | 302-475-4827
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Provider Business Mailing Address
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Address Line | 1812 MARSH RD SUITE 427
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City | WILMINGTON
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State | DE
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Zip | 19810-4581
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Country | US
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Telephone | 302-475-5562
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Fax | 302-475-4827
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Authorized Official
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Title or Position | OPTICIAN/OWNER
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Name | MR. PAUL WILLIAM SHERWOOD JR.
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Credential |
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Telephone | 302-475-5562
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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 |
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License Number State |
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