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General NPI Number Information
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NPI Number | 1013594845
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Entity Type | Organization
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Legal Business Name | OPTOMETRAS DARLINGTON
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Dates
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Enumeration Date | 03/26/2021
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Last Update Date | 07/30/2021
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Provider Practice Location Address
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Address Line | 1007 AVE MUNOZ RIVERA STE 7
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City | SAN JUAN
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State | PR
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Zip | 00925-2716
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Country | US
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Telephone | 787-767-7973
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Fax |
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Provider Business Mailing Address
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Address Line | 1007 AVE MUNOZ RIVERA STE 7
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City | SAN JUAN
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State | PR
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Zip | 00925-2716
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Country | US
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Telephone | 787-767-7973
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Fax |
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Authorized Official
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Title or Position | DOCTOR/PRESIDENT
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Name | DR. VIVIANA LOJO
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Credential |
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Telephone | 787-767-7973
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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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