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General NPI Number Information
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NPI Number | 1033456942
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Entity Type | Organization
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Legal Business Name | DEAN F ARGENTINE, OD PA
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Dates
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Enumeration Date | 01/11/2013
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Last Update Date | 01/11/2013
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Provider Practice Location Address
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Address Line | 3767 GULF BREEZE PKWY
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City | GULF BREEZE
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State | FL
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Zip | 32563-3528
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Country | US
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Telephone | 850-934-9655
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Fax | 850-934-7499
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Provider Business Mailing Address
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Address Line | 1181 MARY LOU LN
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City | GULF BREEZE
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State | FL
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Zip | 32563-3710
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Country | US
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Telephone | 850-934-9655
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Fax | 850-934-7499
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEAN FRANK ARGENTINE
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Credential | OD
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Telephone | 850-934-9655
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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 | OPC2695
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License Number State | FL
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