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General NPI Number Information
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NPI Number | 1023109774
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Entity Type | Individual
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Provider Name | ANA ABUGAZALEH LDO
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3200 S UNIVERSITY DR NSU THE EYE INSTITUTE SANFORD ZIFF 2ND FLOOR
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City | DAVIE
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State | FL
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Zip | 33328-2018
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Country | US
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Telephone | 954-262-4213
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Fax |
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Provider Business Mailing Address
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Address Line | 7824 NW 200TH ST
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City | HIALEAH
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State | FL
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Zip | 33015-6636
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Country | US
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Telephone | 305-829-2928
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Fax |
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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 | 156FX1800X
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Taxonomy Name | Optician
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License Number | 2523
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License Number State | FL
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