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General NPI Number Information
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NPI Number | 1790778306
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Entity Type | Individual
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Provider Name | JAMES THOMAS LISLE OD
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Gender | Male
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 12/06/2016
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Provider Practice Location Address
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Address Line | 747 N STATE ST
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City | NORTH VERNON
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State | IN
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Zip | 47265-1044
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Country | US
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Telephone | 812-346-8500
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Fax | 812-352-8308
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Provider Business Mailing Address
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Address Line | 747 N STATE ST
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City | NORTH VERNON
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State | IN
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Zip | 47265-1044
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Country | US
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Telephone | 812-352-6600
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Fax | 812-352-6600
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 18002981A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1415DT
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License Number State | KY
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