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General NPI Number Information
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NPI Number | 1235238759
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Entity Type | Organization
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Legal Business Name | DR. CHARLES V. DILEO & ASSOCIATES
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/27/2008
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Provider Practice Location Address
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Address Line | 1401 W ESPLANADE AVE SUITE 2020
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City | KENNER
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State | LA
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Zip | 70065-2845
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Country | US
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Telephone | 504-465-0085
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Fax | 504-465-0447
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Provider Business Mailing Address
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Address Line | 1401 W ESPLANADE AVE SUITE 2020
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City | KENNER
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State | LA
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Zip | 70065-2845
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Country | US
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Telephone | 504-465-0085
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Fax | 504-465-0447
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Authorized Official
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Title or Position | OWNER
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Name | DR. CHARLES V DILEO
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Credential | O.D.
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Telephone | 504-465-0085
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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 | 934-223T
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License Number State | LA
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