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General NPI Number Information
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NPI Number | 1588746390
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Entity Type | Organization
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Legal Business Name | DSL INC
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 111 COLONY CROSSING SUITE 220
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City | MADISON
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State | MS
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Zip | 39110-7778
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Country | US
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Telephone | 601-853-1871
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Fax | 601-853-9154
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Provider Business Mailing Address
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Address Line | 111 COLONY CROSSING SUITE 220
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City | MADISON
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State | MS
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Zip | 39110-7778
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Country | US
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Telephone | 601-853-1871
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Fax | 601-853-9154
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Authorized Official
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Title or Position | OWNER
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Name | LEON CEFALU
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Credential |
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Telephone | 601-853-1871
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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 |
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License Number State |
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