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General NPI Number Information
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NPI Number | 1932421013
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Entity Type | Organization
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Legal Business Name | DENISE FORAN BILLINGS, O.D., P.A.
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Dates
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Enumeration Date | 02/17/2010
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Last Update Date | 02/17/2010
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Provider Practice Location Address
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Address Line | 2135 TAMIAMI TRL
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-2123
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Country | US
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Telephone | 941-624-5772
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Fax |
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Provider Business Mailing Address
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Address Line | 2135 TAMIAMI TRL
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-2123
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Country | US
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Telephone | 941-624-5772
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DENISE FORAN BILLINGS
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Credential | O.D.
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Telephone | 941-624-5772
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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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