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General NPI Number Information
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NPI Number | 1396060083
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Entity Type | Organization
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Legal Business Name | DRS CARLSON, HOLLIS, & TERREZZA AND ASSOCIATES, INC
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Dates
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Enumeration Date | 04/06/2010
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Last Update Date | 04/06/2010
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Provider Practice Location Address
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Address Line | 800 N FAIRFIELD DR
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City | PENSACOLA
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State | FL
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Zip | 32506-4313
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Country | US
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Telephone | 850-456-5059
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Fax | 850-456-0461
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Provider Business Mailing Address
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Address Line | 1815 E FOWLER AVE
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City | TAMPA
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State | FL
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Zip | 33612-5525
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Country | US
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Telephone | 813-979-2929
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Fax | 813-979-9479
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Authorized Official
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Title or Position | INSURANCE MANAGER
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Name | JENNIFER J DUKES
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Credential |
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Telephone | 850-456-5059
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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 |
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License Number State |
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