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General NPI Number Information
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NPI Number | 1760736409
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Entity Type | Organization
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Legal Business Name | FINISHING EDGE INC
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Dates
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Enumeration Date | 11/02/2012
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Last Update Date | 11/02/2012
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Provider Practice Location Address
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Address Line | 216 JOE DEAR RD
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City | HARRISVILLE
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State | MS
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Zip | 39082-4024
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Country | US
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Telephone | 601-845-7400
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Fax | 601-845-0734
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Provider Business Mailing Address
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Address Line | 216 JOE DEAR RD
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City | HARRISVILLE
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State | MS
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Zip | 39082-4024
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Country | US
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Telephone | 601-845-7400
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Fax | 601-845-0734
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Authorized Official
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Title or Position | OWNER
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Name | DOUGLAS WAYNE SNELL
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Credential |
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Telephone | 601-845-7400
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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 | 1006964
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License Number State | MS
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