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General NPI Number Information
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NPI Number | 1629240437
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Entity Type | Organization
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Legal Business Name | DR. TERRY M. JOSLIN
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 103 EAST BANKHEAD ST.
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City | NEW ALBANY
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State | MS
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Zip | 38652
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Country | US
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Telephone | 662-534-5861
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Fax |
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Provider Business Mailing Address
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Address Line | 103 E BANKHEAD ST
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City | NEW ALBANY
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State | MS
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Zip | 38652-3933
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Country | US
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Telephone | 662-534-5861
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Fax | 662-534-2573
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. TERRY M JOSLIN
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Credential | O.D.
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Telephone | 662-534-5861
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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 | 513
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License Number State | MS
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