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General NPI Number Information
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NPI Number | 1598486078
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Entity Type | Individual
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Provider Name | DESTYNEE DIAMOND-ROSE TURNER LDO
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Gender | Female
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Dates
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Enumeration Date | 09/05/2022
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Last Update Date | 09/25/2023
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Provider Practice Location Address
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Address Line | 5601 CORPORATE WAY STE 117
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2041
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Country | US
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Telephone | 561-401-0902
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Fax |
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Provider Business Mailing Address
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Address Line | 218 LYMAN PL
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3708
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Country | US
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Telephone | 561-401-0902
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FC0800X
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Taxonomy Name | Contact Lens Technician/Technologist
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License Number | 6802
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number | 6802
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License Number State | FL
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