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General NPI Number Information
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NPI Number | 1710175781
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Entity Type | Organization
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Legal Business Name | ROSEMONT ENTERPRISES INC
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 2323 PENNSYLVANIA AVENUE
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City | WILMINGTON
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State | DE
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Zip | 19806-1332
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Country | US
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Telephone | 302-655-1523
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Fax | 302-655-6114
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Provider Business Mailing Address
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Address Line | 2323 PENNSYLVANIA AVENUE
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City | WILMINGTON
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State | DE
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Zip | 19806-1332
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Country | US
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Telephone | 302-655-1523
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Fax | 302-655-6114
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Authorized Official
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Title or Position | OWNER
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Name | MR. DANIEL J PRENDERGAST
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Credential |
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Telephone | 302-655-1523
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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 | 1998206341
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License Number State | DE
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