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General NPI Number Information
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NPI Number | 1235259516
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Entity Type | Organization
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Legal Business Name | LIONS SERVICES, INC.
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 4600 N TRYON ST STE A
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City | CHARLOTTE
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State | NC
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Zip | 28213-7058
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Country | US
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Telephone | 704-599-4760
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Fax | 704-921-5758
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Provider Business Mailing Address
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Address Line | 4600 N TRYON ST STE A
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City | CHARLOTTE
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State | NC
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Zip | 28213-7058
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Country | US
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Telephone | 704-599-4760
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Fax | 704-921-5758
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JIM R. CRANFORD
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Credential |
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Telephone | 704-921-1527
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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 | X-0736
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License Number State | NC
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