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General NPI Number Information
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NPI Number | 1659551232
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Entity Type | Organization
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Legal Business Name | ACCENT OPTICAL, INC.
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Dates
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Enumeration Date | 11/12/2007
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Last Update Date | 05/30/2008
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Provider Practice Location Address
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Address Line | 1004 W HIGHWAY 30 STE 100
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City | GONZALES
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State | LA
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Zip | 70737-5001
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Country | US
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Telephone | 225-647-4430
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Fax |
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Provider Business Mailing Address
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Address Line | 1004 W HIGHWAY 30 STE 100
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City | GONZALES
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State | LA
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Zip | 70737-5001
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Country | US
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Telephone | 225-647-4430
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. EVA M. LAMENDOLA
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Credential | O.D.
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Telephone | 225-647-4430
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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 | 1410546T
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License Number State | LA
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