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General NPI Number Information
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NPI Number | 1023689239
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Entity Type | Organization
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Legal Business Name | EYE CARE PROFESSIONALS, P.A.
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Dates
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Enumeration Date | 07/08/2021
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 2144 W INDIANTOWN RD
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City | JUPITER
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State | FL
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Zip | 33458-5810
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Country | US
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Telephone | 561-747-7460
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Fax |
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Provider Business Mailing Address
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Address Line | 3674 HAMILTON KY
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-6466
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Country | US
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Telephone | 561-301-4637
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Fax | 561-478-2609
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Authorized Official
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Title or Position | VP
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Name | BARBARA A GEORGE
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Credential | OD
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Telephone | 561-301-4637
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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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