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General NPI Number Information
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NPI Number | 1851628036
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Entity Type | Organization
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Legal Business Name | DRS CARLSON TERREZZA AND ASSOCIATES INC
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Dates
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Enumeration Date | 11/10/2009
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Last Update Date | 11/10/2009
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Provider Practice Location Address
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Address Line | 10423 COUNTY ROAD 39 S
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City | LITHIA
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State | FL
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Zip | 33547-2864
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Country | US
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Telephone | 813-737-1122
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Fax | 850-456-0461
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Provider Business Mailing Address
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Address Line | 800 N FAIRFIELD DR
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City | PENSACOLA
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State | FL
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Zip | 32506-4313
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Country | US
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Telephone | 850-456-5059
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Fax | 850-456-0461
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Authorized Official
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Title or Position | INSURANCE MANAGER
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Name | JENNIFER J DUKES
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Credential |
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Telephone | 850-456-5059
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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 |
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License Number State |
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