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General NPI Number Information
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NPI Number | 1033440664
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Entity Type | Organization
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Legal Business Name | CUPEY OPTICAL INC.
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Dates
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Enumeration Date | 01/21/2010
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Last Update Date | 01/21/2010
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Provider Practice Location Address
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Address Line | 359 CALLE SAN CLAUDIO # CUPEY SUITE 110 AVE SAN CLAUDIO 359
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City | SAN JUAN
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State | PR
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Zip | 00926-9907
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Country | US
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Telephone | 787-748-8833
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Fax |
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Provider Business Mailing Address
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Address Line | SUITE 110 AVE SAN CLAUDIO 359 CUPEY PROFESSIONAL MALL
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-748-8833
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS ANA EMIL GONZALEZ
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Credential |
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Telephone | 787-748-8833
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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 | 387
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License Number State | PR
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