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General NPI Number Information
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NPI Number | 1356540538
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Entity Type | Organization
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Legal Business Name | DAPREMONT EYE SPECIALISTS' PA
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 428 COURTHOUSE RD
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City | GULFPORT
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State | MS
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Zip | 39507-1867
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Country | US
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Telephone | 228-896-8050
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Fax | 228-896-3036
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Provider Business Mailing Address
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Address Line | 428 COURTHOUSE RD
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City | GULFPORT
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State | MS
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Zip | 39507-1867
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Country | US
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Telephone | 228-896-8050
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Fax | 228-896-3036
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Authorized Official
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Title or Position | OWNER/M.D.
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Name | DR. EDGAR M DAPREMONT JR.
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Credential | M.D.
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Telephone | 228-896-8050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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