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General NPI Number Information
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NPI Number | 1578821948
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Entity Type | Organization
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Legal Business Name | DYSON & DYSON INC.
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Dates
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Enumeration Date | 04/24/2012
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 322 MESSINA ST.
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City | ABBEVILLE
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State | LA
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Zip | 70510
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Country | US
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Telephone | 337-422-8211
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Fax |
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Provider Business Mailing Address
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Address Line | 322 MESSINA ST.
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City | ABBEVILLE
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State | LA
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Zip | 70510
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Country | US
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Telephone | 337-422-8211
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Fax |
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Authorized Official
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Title or Position | MANGER
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Name | MRS. TEAQULIA QURENNA PLOWDEN
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Credential |
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Telephone | 337-422-8211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | LA
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